POUGHKEEPSIE MEDICAL GROUP LLP
NPI 1700979507
Internal Medicine in Poughkeepsie, NY
About Poughkeepsie Medical Group Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POUGHKEEPSIE MEDICAL GROUP LLP (NPI 1700979507) is a healthcare organization registered as an internal medicine in Poughkeepsie, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Sumita Mazumdar, Billing Supervisior, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 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)
Poughkeepsie Medical Group Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Poughkeepsie Medical Group LLP, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
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 33D0164296
Poughkeepsie Medical Group · Poughkeepsie, NYFrequently 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 Poughkeepsie Medical Group LLP's NPI number?
The NPI number for Poughkeepsie Medical Group LLP is 1700979507. It was assigned to this organization in the NPPES registry on October 2, 2006.
Where is Poughkeepsie Medical Group LLP located?
Poughkeepsie Medical Group LLP is located at 375 Hooker Ave., Poughkeepsie, NY 12603. The listed phone number is (845) 454-5000.
What is Poughkeepsie Medical Group LLP's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Poughkeepsie Medical Group LLP enrolled in Medicare?
Yes. Poughkeepsie Medical Group LLP is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Poughkeepsie Medical Group LLP?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Poughkeepsie Medical Group LLP. 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 (7), Internal Medicine (3) and Cardiovascular Disease (Cardiology) (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Poughkeepsie Medical Group LLP hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0164296) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Poughkeepsie Medical Group LLP was last updated on July 28, 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.
# Poughkeepsie Medical Group Llp · NPI 1700979507
Internal Medicine organization in Poughkeepsie, New York. Organization record, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1700979507 (Entity type: Organization)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Sumita Mazumdar, BILLING SUPERVISIOR
## Practice location
- **Address:** 375 HOOKER AVE., Poughkeepsie, NY 12603
- **Phone:** (845) 454-5000 · **Fax:** (845) 454-9880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Internal Medicine (3), Cardiovascular Disease (Cardiology) (1); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2015
- **Other identifiers:** Medicare UPIN W91301 (NY); Medicaid 01076948 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700979507) · Data from the CMS NPPES public registry.