ST MARY INTERNAL MEDICINE ASSOCIATES S C
NPI 1710009204
Clinic/Center - Primary Care in Plainfield, IL
About St Mary Internal Medicine Associates S C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST MARY INTERNAL MEDICINE ASSOCIATES S C (NPI 1710009204) is a healthcare organization registered as a primary care in Plainfield, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Ashraf Assaad Iskander, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
St Mary Internal Medicine Associates S C 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 St Mary Internal Medicine Associates S C, 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.
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 14D1000895
St Marys Internal Medicine · Plainfield, ILFrequently 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 St Mary Internal Medicine Associates S C's NPI number?
The NPI number for St Mary Internal Medicine Associates S C is 1710009204. It was assigned to this organization in the NPPES registry on April 4, 2007.
Where is St Mary Internal Medicine Associates S C located?
St Mary Internal Medicine Associates S C is located at 2320 S Route 59, Plainfield, IL 60586. The listed phone number is (815) 609-9480.
What is St Mary Internal Medicine Associates S C's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is St Mary Internal Medicine Associates S C enrolled in Medicare?
Yes. St Mary Internal Medicine Associates S C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Mary Internal Medicine Associates S C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to St Mary Internal Medicine Associates S C. 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.
Does St Mary Internal Medicine Associates S C hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1000895) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does St Mary Internal Medicine Associates S C accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list St Mary Internal Medicine Associates S C 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 St Mary Internal Medicine Associates S C was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# St Mary Internal Medicine Associates S C · NPI 1710009204
Primary Care organization in Plainfield, Illinois. Organization record, active in the CMS NPPES registry since April 4, 2007.
## Identity
- **NPI:** 1710009204 (Entity type: Organization)
- **Enumerated:** April 4, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ashraf Iskander, PRESIDENT
## Practice location
- **Address:** 2320 S ROUTE 59, Plainfield, IL 60586-7756
- **Phone:** (815) 609-9480 · **Fax:** (815) 609-9482
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** November 30, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 201473 (IL); Medicaid 036094077 (IL); Medicare UPIN G81406 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710009204) · Data from the CMS NPPES public registry.