GOOD YEARS FAMILY MEDICINE LLC
NPI 1619370426
Clinic/Center - Health Service in Goodyear, AZ

Active since October 07, 2014CLIA 03D1061550 · Microscopy
14960 W INDIAN SCHOOL RD, SUITE 340, GOODYEAR, AZ 85395(623) 594-3171(623) 594-3161 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Good Years Family Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD YEARS FAMILY MEDICINE LLC (NPI 1619370426) is a healthcare organization registered as a health service in Goodyear, Arizona and active in the NPI registry since October 2014. The organization holds a CLIA Microscopy certificate valid through November 19, 2026 and lists Gregory K Chrostowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1619370426
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameGOOD YEARS FAMILY MEDICINE LLC
Location Address14960 W INDIAN SCHOOL RD, SUITE 340Goodyear, AZ 85395-7814
Mailing Address10240 W Indian School Rd, Suite 155Phoenix, AZ 85037-5904 · (623) 594-3171 · Fax (623) 594-3161
Fax(623) 594-3161
Organization SubpartNo
Authorized OfficialGregory K ChrostowskiOwner · (623) 594-3171
Enumeration DateOctober 7, 2014
Last NPPES UpdateJuly 27, 2023
NPPES CertifiedJuly 27, 2023
✔ NPI 1619370426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in AZ · 31975
14960 W INDIAN SCHOOL RD, Goodyear, AZ 85395

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Good Years Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Good Years Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1104660539
10240 W INDIAN SCHOOL RD STE 155
Phoenix, AZ 85037
(623) 594-3171
✔ PECOS✔ Accepts Medicare5.8 mi
Family Practice
NPI 1831181502
10240 WEST INDIAN SCHOOL RD SUITE 155
Phoenix, AZ 85037
(623) 385-7900
✔ PECOS✔ Accepts Medicare5.8 mi
Family Practice
NPI 1790777456
10240 W INDIAN SCHOOL RD SUITE 155
Phoenix, AZ 85037
(623) 385-7900
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1336777424
13507 N 145TH DR
Surprise, AZ 85379
(026) 811-2742
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1275186413
4475 S MILLER RD STE 106
Buckeye, AZ 85326
(480) 677-8282
✔ PECOS✔ Accepts Medicare14 mi

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

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 for Provider-Performed Microscopy Procedures (PPMP) 03D1061550

Good Years Family Medicine, LLC · Phoenix, AZ
Active · expires Nov 19, 2026
CLIA Number03D1061550
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorAgnieszka M. Chrostowski, MD
Laboratory Phone(623) 594-3171
Laboratory LocationGood Years Family Medicine, LLC10240 W Indian School Rd, Ste 155, Phoenix, AZ 85037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently 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 Good Years Family Medicine LLC's NPI number?

The NPI number for Good Years Family Medicine LLC is 1619370426. It was assigned to this organization in the NPPES registry on October 7, 2014.

Where is Good Years Family Medicine LLC located?

Good Years Family Medicine LLC is located at 14960 W Indian School Rd Suite 340, Goodyear, AZ 85395. The listed phone number is (623) 594-3171.

What is Good Years Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Good Years Family Medicine LLC enrolled in Medicare?

Yes. Good Years Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Good Years Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Good Years Family Medicine LLC. 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 (3) and Family Practice (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Good Years Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D1061550) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Good Years Family Medicine LLC was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.