NAPERVILLE FAMILY CLINIC SC
NPI 1720658248
Internal Medicine in Naperville, IL
About Naperville Family Clinic Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NAPERVILLE FAMILY CLINIC SC (NPI 1720658248) is a healthcare organization registered as an internal medicine in Naperville, Illinois and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Sunita Dervesh Koul, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Naperville Family Clinic Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Naperville Family Clinic Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Fresno, CA 93727
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 14D2254400
Naperville Family Clinic, Inc · Naperville, 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 Naperville Family Clinic Sc's NPI number?
The NPI number for Naperville Family Clinic Sc is 1720658248. It was assigned to this organization in the NPPES registry on June 28, 2021.
Where is Naperville Family Clinic Sc located?
Naperville Family Clinic Sc is located at 1879 Bay Scott Cir Ste 111, Naperville, IL 60540. The listed phone number is (630) 961-1341.
What is Naperville Family Clinic Sc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Naperville Family Clinic Sc enrolled in Medicare?
Yes. Naperville Family Clinic Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Naperville Family Clinic Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Naperville Family Clinic Sc. 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 (5) and Hospitalist (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Naperville Family Clinic Sc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2254400) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Naperville Family Clinic Sc accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Naperville Family Clinic Sc 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 Naperville Family Clinic Sc was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Naperville Family Clinic Sc · NPI 1720658248
Internal Medicine organization in Naperville, Illinois. Organization record, active in the CMS NPPES registry since June 28, 2021.
## Identity
- **NPI:** 1720658248 (Entity type: Organization)
- **Enumerated:** June 28, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Sunita Koul, PRESIDENT
## Practice location
- **Address:** 1879 BAY SCOTT CIR STE 111, Naperville, IL 60540-1109
- **Phone:** (630) 961-1341 · **Fax:** (630) 961-1782
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Hospitalist (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720658248) · Data from the CMS NPPES public registry.