FAMILY HEALTH MEDICAL SERVICES PLLC
NPI 1619072204
Family Medicine in Jamestown, NY
About Family Health Medical Services Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY HEALTH MEDICAL SERVICES PLLC (NPI 1619072204) is a healthcare organization registered as a family medicine in Jamestown, New York and active in the NPI registry since September 2006. The organization holds 4 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Leah Kinal, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Health Medical Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Family Health Medical Services PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2200660
Family Health Medical Services PLLC · Westfield, NYCertificate of Waiver 33D2309780
Family Health Medical Services PLLC · Fredonia, NYCertificate of Waiver 33D2115380
Family Health Medical Services PLLC · Jamestown, NYCertificate of Waiver 33D2124695
Family Health Medical Services, PLLC · Jamestown, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Family Health Medical Services PLLC's NPI number?
The NPI number for Family Health Medical Services PLLC is 1619072204. It was assigned to this organization in the NPPES registry on September 14, 2006.
Where is Family Health Medical Services PLLC located?
Family Health Medical Services PLLC is located at 103 Allen St, Jamestown, NY 14701. The listed phone number is (716) 338-0022.
What is Family Health Medical Services PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Family Health Medical Services PLLC enrolled in Medicare?
Yes. Family Health Medical Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Health Medical Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Health Medical Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7) and Family Practice (4). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Health Medical Services PLLC hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Family Health Medical Services PLLC was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Family Health Medical Services Pllc · NPI 1619072204
Family Medicine organization in Jamestown, New York. Organization record, active in the CMS NPPES registry since September 14, 2006.
## Identity
- **NPI:** 1619072204 (Entity type: Organization)
- **Enumerated:** September 14, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Leah Kinal, CREDENTIALING MANAGER
## Practice location
- **Address:** 103 ALLEN ST, Jamestown, NY 14701-6968
- **Phone:** (716) 338-0022 · **Fax:** (716) 338-1567
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (4); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2024
- **Other identifiers:** Other GRP512246001 (NY); Medicaid 02849278 (NY)
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619072204) · Data from the CMS NPPES public registry.