CONCORDIA PHYSICIAN PRACTICE
NPI 1699153247
Family Medicine in Cabot, PA
About Concordia Physician Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONCORDIA PHYSICIAN PRACTICE (NPI 1699153247) is a healthcare organization registered as a family medicine in Cabot, Pennsylvania and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through August 17, 2028 and lists Keith E Frndak, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Concordia Physician Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Concordia Physician Practice, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 39D1029545
Concordia Physician Practice · Cabot, PAFrequently 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 Concordia Physician Practice's NPI number?
The NPI number for Concordia Physician Practice is 1699153247. It was assigned to this organization in the NPPES registry on May 15, 2015.
Where is Concordia Physician Practice located?
Concordia Physician Practice is located at 112 Marwood Road #5000, Cabot, PA 16023. The listed phone number is (724) 352-4448.
What is Concordia Physician Practice's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Concordia Physician Practice enrolled in Medicare?
Yes. Concordia Physician Practice is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Concordia Physician Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Concordia Physician Practice. 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 Nurse Practitioner (3), Internal Medicine (2) and Family Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Concordia Physician Practice hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D1029545) is associated with this NPI, valid through August 17, 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 Concordia Physician Practice was last updated on May 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Concordia Physician Practice · NPI 1699153247
Family Medicine organization in Cabot, Pennsylvania. Organization record, active in the CMS NPPES registry since May 15, 2015.
## Identity
- **NPI:** 1699153247 (Entity type: Organization)
- **Enumerated:** May 15, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Concordia Lutheran Ministries)
- **Authorized official:** Keith Frndak, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 112 MARWOOD ROAD #5000, Cabot, PA 16023-2245
- **Phone:** (724) 352-4448 · **Fax:** (724) 352-4412
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (2), Family Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699153247) · Data from the CMS NPPES public registry.