ROUND VALLEY INDIAN HEALTH CENTER, INC.
NPI 1669532750
Clinic/Center in Covelo, CA
About Round Valley Indian Health Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROUND VALLEY INDIAN HEALTH CENTER, INC. (NPI 1669532750) is a healthcare organization registered as a clinic/center in Covelo, California and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through November 5, 2027 and lists Otis D Brotherton, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Round Valley Indian Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Round Valley Indian Health Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 31Cloverdale, CA 95425
Henderson, NV 89052
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) 05D0904229
Round Valley Indian Health Center PO Box 247 · Covelo, CAFrequently 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 Round Valley Indian Health Center, Inc.'s NPI number?
The NPI number for Round Valley Indian Health Center, Inc. is 1669532750. It was assigned to this organization in the NPPES registry on December 11, 2006.
Where is Round Valley Indian Health Center, Inc. located?
Round Valley Indian Health Center, Inc. is located at 24065 Biggar Lane, Covelo, CA 95428. The listed phone number is (707) 983-6404.
What is Round Valley Indian Health Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Round Valley Indian Health Center, Inc. enrolled in Medicare?
Yes. Round Valley Indian Health Center, Inc. is registered in the Medicare PECOS enrollment system.
When is Round Valley Indian Health Center, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Round Valley Indian Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 9 Medicare specialties reassign their Medicare billing to Round Valley Indian Health Center, Inc.. 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 Family Practice (10), Nurse Practitioner (8) and Clinical Psychologist (4). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Round Valley Indian Health Center, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0904229) is associated with this NPI, valid through November 5, 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 Round Valley Indian Health Center, Inc. was last updated on March 14, 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.
# Round Valley Indian Health Center, Inc. · NPI 1669532750
Clinic/Center organization in Covelo, California. Organization record, active in the CMS NPPES registry since December 11, 2006.
## Identity
- **NPI:** 1669532750 (Entity type: Organization)
- **Enumerated:** December 11, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Otis Brotherton, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 24065 BIGGAR LANE, Covelo, CA 95428-0247
- **Phone:** (707) 983-6404 · **Fax:** (707) 983-6184
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 31 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (10), Nurse Practitioner (8), Clinical Psychologist (4); 2 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1669532750/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 14, 2024
- **Other identifiers:** Medicaid THP11697F (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669532750) · Data from the CMS NPPES public registry.