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PREMIER MEDICAL CARE LLC
NPI 1679974521
Internal Medicine in Windsor, CT

Active since September 10, 2014
340 BROAD ST, SUITE 100, WINDSOR, CT 06095(860) 587-7170(860) 580-7177 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Premier Medical Care Llc NPPES

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

PREMIER MEDICAL CARE LLC (NPI 1679974521) is a healthcare organization registered as an internal medicine in Windsor, Connecticut and active in the NPI registry since September 2014. The organization lists Mohammed A Memon, Director, as its authorized official.

NPPES Registry Identity

NPI1679974521
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIER MEDICAL CARE LLC
Location Address340 BROAD ST, SUITE 100Windsor, CT 06095-3030
Mailing Address340 Broad St, Suite 100Windsor, CT 06095-3030 · (860) 587-7170 · Fax (860) 580-7177
Phone(860) 587-7170
Fax(860) 580-7177
Organization SubpartNo
Authorized OfficialMohammed A MemonDirector · (860) 587-7170
Enumeration DateSeptember 10, 2014
✔ NPI 1679974521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
340 BROAD ST, Windsor, CT 06095
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Other Identifiers 3

Medicare PIN0800014841
Medicaid001425885CT
Medicare UPINI16334

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Medical Care Llc 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 Premier Medical Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Johnny Wright, M.D., D.P.M.
Family Practice
NPI 1952455370
340 BROAD ST SUITE 100
Windsor, CT 06095
(860) 580-7170
✔ PECOS✔ Accepts MedicareSame address

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 07D2084896

Premier Medical Care LLC · Windsor, CT
Expired · Oct 2, 2026
CLIA Number07D2084896
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorJohnny C. Wright
Laboratory Phone(860) 587-7170
Laboratory LocationPremier Medical Care LLC340 Broad St Suite 100, Windsor, CT 06095
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Premier Medical Care LLC's NPI number?

The NPI number for Premier Medical Care LLC is 1679974521. It was assigned to this organization in the NPPES registry on September 10, 2014.

Where is Premier Medical Care LLC located?

Premier Medical Care LLC is located at 340 Broad St Suite 100, Windsor, CT 06095. The listed phone number is (860) 587-7170.

What is Premier Medical Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Premier Medical Care LLC enrolled in Medicare?

Yes. Premier Medical Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Medical Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Premier Medical Care 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 Premier Medical Care LLC was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.