REGIONAL FAMILY PRACTICE LLC
NPI 1679141378
Clinic/Center in Saint Paul, MN

Active since June 17, 2021
1047 UNIVERSITY AVE W STE 101, SAINT PAUL, MN 55104(651) 666-0846(651) 256-3008 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2026, Jun 17, 2021 (2 updates tracked since 2021).

About Regional Family Practice Llc NPPES

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

REGIONAL FAMILY PRACTICE LLC (NPI 1679141378) is a healthcare organization registered as a clinic/center in Saint Paul, Minnesota and active in the NPI registry since June 2021. The organization lists Hassan Hussein Sirat, Provider, as its authorized official.

NPPES Registry Identity

NPI1679141378
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREGIONAL FAMILY PRACTICE LLC
Location Address1047 UNIVERSITY AVE W STE 101Saint Paul, MN 55104-4751
Mailing Address2189 Gateway Hill Rd NNorth Saint Paul, MN 55109-1776 · (651) 666-0846
Fax(651) 256-3008
Organization SubpartNo
Authorized OfficialHassan Hussein SiratProvider · (651) 666-0846
Enumeration DateJune 17, 2021
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1679141378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1047 UNIVERSITY AVE W STE 101, Saint Paul, MN 55104

Other Names 1

Doing Business AsRegional Family Practice Llc

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)

Regional Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20211117001072Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Regional Family Practice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1639736150
1068 RAYMOND AVE APT 204
Saint Paul, MN 55108
(651) 666-0846
✔ PECOS2.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Regional Family Practice LLC's NPI number?

The NPI number for Regional Family Practice LLC is 1679141378. It was assigned to this organization in the NPPES registry on June 17, 2021.

Where is Regional Family Practice LLC located?

Regional Family Practice LLC is located at 1047 University Ave W Ste 101, Saint Paul, MN 55104. The listed phone number is (651) 666-0846.

What is Regional Family Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Regional Family Practice LLC enrolled in Medicare?

Yes. Regional Family Practice LLC is registered in the Medicare PECOS enrollment system.

When is Regional Family Practice LLC'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 (Minnesota, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Regional Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Regional Family Practice 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Regional Family Practice LLC was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.