BEREA CLINIC OF INTERNAL MEDICINE, PSC
NPI 1700819802
Clinic/Center - Primary Care in Berea, KY

Active since July 09, 2006CLIA 18D0322691 · Microscopy
1036 ACE DR, BEREA, KY 40403(859) 986-3124(859) 986-9398 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Berea Clinic Of Internal Medicine, Psc NPPES

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

BEREA CLINIC OF INTERNAL MEDICINE, PSC (NPI 1700819802) is a healthcare organization registered as a primary care in Berea, Kentucky and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through March 11, 2028 and lists George L. Schloemer, Owner, as its authorized official.

NPPES Registry Identity

NPI1700819802
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBEREA CLINIC OF INTERNAL MEDICINE, PSC
Location Address1036 ACE DRBerea, KY 40403-1327
Mailing Address1036 Ace DrBerea, KY 40403-1327 · (859) 986-3124 · Fax (859) 986-9398
Fax(859) 986-9398
Organization SubpartNo
Authorized OfficialGeorge L. SchloemerOwner · (859) 986-3124
Enumeration DateJuly 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1700819802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1036 ACE DR, Berea, KY 40403

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Berea Clinic Of Internal Medicine, Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Berea Clinic Of Internal Medicine, Psc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1952345522
1036 ACE DR
Berea, KY 40403
(859) 986-3124
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1598705980
1036 ACE DR
Berea, KY 40403
(859) 986-3124
✔ 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 for Provider-Performed Microscopy Procedures (PPMP) 18D0322691

Berea Clinic Of Internal Medicine · Berea, KY
Active · expires Mar 11, 2028
CLIA Number18D0322691
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorMr. Patrick A. Kelleher
Laboratory Phone(859) 986-3124
Laboratory LocationBerea Clinic Of Internal Medicine1036 Ace Drive, Berea, KY 40403
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Berea Clinic Of Internal Medicine, Psc's NPI number?

The NPI number for Berea Clinic Of Internal Medicine, Psc is 1700819802. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Berea Clinic Of Internal Medicine, Psc located?

Berea Clinic Of Internal Medicine, Psc is located at 1036 Ace Dr, Berea, KY 40403. The listed phone number is (859) 986-3124.

What is Berea Clinic Of Internal Medicine, Psc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Berea Clinic Of Internal Medicine, Psc enrolled in Medicare?

Yes. Berea Clinic Of Internal Medicine, Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Berea Clinic Of Internal Medicine, Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Berea Clinic Of Internal Medicine, Psc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Berea Clinic Of Internal Medicine, Psc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D0322691) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Berea Clinic Of Internal Medicine, Psc accept?

Health plans from Anthem Blue Cross and Blue Shield list Berea Clinic Of Internal Medicine, Psc 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 Berea Clinic Of Internal Medicine, Psc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.