SLIDELL INTERNAL MEDICINE CLINIC LLC
NPI 1700090016
Internal Medicine in Slidell, LA
About Slidell Internal Medicine Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SLIDELL INTERNAL MEDICINE CLINIC LLC (NPI 1700090016) is a healthcare organization registered as an internal medicine in Slidell, Louisiana and active in the NPI registry since May 2007. The organization lists Allan Quibilan Larcena, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Accepted Insurance
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)
Slidell Internal Medicine Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Slidell Internal Medicine 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 Slidell Internal Medicine Clinic LLC's NPI number?
The NPI number for Slidell Internal Medicine Clinic LLC is 1700090016. It was assigned to this organization in the NPPES registry on May 9, 2007.
Where is Slidell Internal Medicine Clinic LLC located?
Slidell Internal Medicine Clinic LLC is located at 105 Medical Center Dr Suite 301, Slidell, LA 70461. The listed phone number is (985) 646-0123.
What is Slidell Internal Medicine Clinic LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Slidell Internal Medicine Clinic LLC enrolled in Medicare?
Yes. Slidell Internal Medicine Clinic LLC is registered in the Medicare PECOS enrollment system.
When is Slidell Internal Medicine Clinic 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 (Louisiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. 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 Slidell Internal Medicine Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Slidell Internal Medicine 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.
What insurance does Slidell Internal Medicine Clinic LLC accept?
Health plans from AmeriHealth Caritas Next list Slidell Internal Medicine Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Slidell Internal Medicine Clinic LLC was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Slidell Internal Medicine Clinic Llc · NPI 1700090016
Internal Medicine organization in Slidell, Louisiana. Organization record, active in the CMS NPPES registry since May 9, 2007.
## Identity
- **NPI:** 1700090016 (Entity type: Organization)
- **Enumerated:** May 9, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Allan Larcena, OWNER
## Practice location
- **Address:** 105 MEDICAL CENTER DR, SUITE 301, Slidell, LA 70461-5544
- **Phone:** (985) 646-0123 · **Fax:** (985) 641-0330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 5W341 (LA); Medicaid 1662097 (LA); Medicare UPIN G09158 (LA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1700090016) · Data from the CMS NPPES public registry.