GROUPO MEDICO DOMINICANO PLLC
NPI 1679646061
Internal Medicine - Interventional Cardiology in New York, NY
About Groupo Medico Dominicano Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GROUPO MEDICO DOMINICANO PLLC (NPI 1679646061) is a healthcare organization registered as an interventional cardiology in New York, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Fernando Taveras, Member, 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)
Groupo Medico Dominicano Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Groupo Medico Dominicano PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 13 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 12
Clinicians, nearest first (16)
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 33D1050895
Groupo Medico Dominicano · New York, 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 Groupo Medico Dominicano PLLC's NPI number?
The NPI number for Groupo Medico Dominicano PLLC is 1679646061. It was assigned to this organization in the NPPES registry on November 16, 2006.
Where is Groupo Medico Dominicano PLLC located?
Groupo Medico Dominicano PLLC is located at 629 W 185th St, New York, NY 10033. The listed phone number is (212) 928-3900.
What is Groupo Medico Dominicano PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Groupo Medico Dominicano PLLC enrolled in Medicare?
Yes. Groupo Medico Dominicano PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Groupo Medico Dominicano PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 12 Medicare specialties reassign their Medicare billing to Groupo Medico Dominicano PLLC. 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 (3), Podiatry (3) and Dermatology (1). Of these, 2 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Groupo Medico Dominicano PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1050895) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Groupo Medico Dominicano PLLC was last updated on February 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Groupo Medico Dominicano Pllc · NPI 1679646061
Interventional Cardiology organization in New York, New York. Organization record, active in the CMS NPPES registry since November 16, 2006.
## Identity
- **NPI:** 1679646061 (Entity type: Organization)
- **Enumerated:** November 16, 2006
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **Organization subpart:** No
- **Authorized official:** Fernando Taveras, MEMBER
## Practice location
- **Address:** 629 W 185TH ST, New York, NY 10033-3102
- **Phone:** (212) 928-3900 · **Fax:** (212) 795-0470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Podiatry (3), Dermatology (1); 2 practice at this address and 13 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2010
- **Other identifiers:** Medicare PIN WWQ661 (NY); Medicaid 03178503 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679646061) · Data from the CMS NPPES public registry.