SUGRIM MEDICAL OFFICE PLLC
NPI 1659676757
Family Medicine in South Richmond Hill, NY
About Sugrim Medical Office Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUGRIM MEDICAL OFFICE PLLC (NPI 1659676757) is a healthcare organization registered as a family medicine in South Richmond Hill, New York and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Surendra Sugrim, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Sugrim Medical Office Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Sugrim Medical Office PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 33D2022399
Sugrim Medical Office PLLC · South Richmond Hill, 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 Sugrim Medical Office PLLC's NPI number?
The NPI number for Sugrim Medical Office PLLC is 1659676757. It was assigned to this organization in the NPPES registry on January 20, 2011.
Where is Sugrim Medical Office PLLC located?
Sugrim Medical Office PLLC is located at 13106 Liberty Ave, South Richmond Hill, NY 11419. The listed phone number is (718) 322-5322.
What is Sugrim Medical Office PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sugrim Medical Office PLLC enrolled in Medicare?
Yes. Sugrim Medical Office PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sugrim Medical Office PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sugrim Medical Office PLLC, in Family Practice and Internal Medicine. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sugrim Medical Office PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2022399) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sugrim Medical Office PLLC was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Sugrim Medical Office Pllc · NPI 1659676757
Family Medicine organization in South Richmond Hill, New York. Organization record, active in the CMS NPPES registry since January 20, 2011.
## Identity
- **NPI:** 1659676757 (Entity type: Organization)
- **Enumerated:** January 20, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Surendra Sugrim, OWNER
## Practice location
- **Address:** 13106 LIBERTY AVE, South Richmond Hill, NY 11419-3124
- **Phone:** (718) 322-5322 · **Fax:** (718) 322-5323
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2011
- **Other identifiers:** Medicaid 03331257 (NY); Medicare PIN G100041140 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659676757) · Data from the CMS NPPES public registry.