MIDHA MEDICAL CLINIC
NPI 1649579046
Family Medicine in Tucker, GA
About Midha Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDHA MEDICAL CLINIC (NPI 1649579046) is a healthcare organization registered as a family medicine in Tucker, Georgia and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Raju Midha, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Midha Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Midha Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 of Waiver 11D2023828
Midha Medical Clinic · Tucker, GAFrequently 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 Midha Medical Clinic's NPI number?
The NPI number for Midha Medical Clinic is 1649579046. It was assigned to this organization in the NPPES registry on March 24, 2011.
Where is Midha Medical Clinic located?
Midha Medical Clinic is located at 1404 Montreal Rd, Tucker, GA 30084. The listed phone number is (770) 492-8665.
What is Midha Medical Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Midha Medical Clinic enrolled in Medicare?
Yes. Midha Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midha Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Midha Medical Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Midha Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2023828) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Midha Medical Clinic accept?
Health plans from Ambetter Health list Midha Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Midha Medical Clinic was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Midha Medical Clinic · NPI 1649579046
Family Medicine organization in Tucker, Georgia. Organization record, active in the CMS NPPES registry since March 24, 2011.
## Identity
- **NPI:** 1649579046 (Entity type: Organization)
- **Enumerated:** March 24, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Raju Midha, SOLE MEMBER
## Practice location
- **Address:** 1404 MONTREAL RD, Tucker, GA 30084
- **Phone:** (770) 492-8665 · **Fax:** (770) 492-8663
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649579046) · Data from the CMS NPPES public registry.