DOMINION HEALTHCARE CLINIC LLC
NPI 1699579581
Clinic/Center in Philadelphia, PA
About Dominion Healthcare Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINION HEALTHCARE CLINIC LLC (NPI 1699579581) is a healthcare organization registered as a clinic/center in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. The organization lists Bernadett Alfred, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dominion Healthcare Clinic 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 Dominion Healthcare Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Dominion Healthcare Clinic LLC's NPI number?
The NPI number for Dominion Healthcare Clinic LLC is 1699579581. It was assigned to this organization in the NPPES registry on April 1, 2025.
Where is Dominion Healthcare Clinic LLC located?
Dominion Healthcare Clinic LLC is located at 6536 Woodland Ave, Philadelphia, PA 19142. The listed phone number is (484) 402-1660.
What is Dominion Healthcare Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Dominion Healthcare Clinic LLC enrolled in Medicare?
Yes. Dominion Healthcare Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dominion Healthcare Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dominion Healthcare Clinic 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 Dominion Healthcare Clinic LLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dominion Healthcare Clinic Llc · NPI 1699579581
Clinic/Center organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since April 1, 2025.
## Identity
- **NPI:** 1699579581 (Entity type: Organization)
- **Enumerated:** April 1, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Bernadett Alfred, NURSE PRACTITIONER
## Practice location
- **Address:** 6536 WOODLAND AVE, Philadelphia, PA 19142-2215
- **Phone:** (484) 402-1660 · **Fax:** (856) 935-9123
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699579581) · Data from the CMS NPPES public registry.