FRESH MEADOWS PHYSICIAN PRACTICE PLLC
NPI 1720775083
Internal Medicine in Jamaica, NY
About Fresh Meadows Physician Practice Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRESH MEADOWS PHYSICIAN PRACTICE PLLC (NPI 1720775083) is a healthcare organization registered as an internal medicine in Jamaica, New York and active in the NPI registry since April 2023. The organization lists Peyman E Younesi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fresh Meadows Physician Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
68Medicare enrollment records show 68 clinicians reassign Medicare billing to Fresh Meadows Physician Practice PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 68Source: 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 Fresh Meadows Physician Practice PLLC's NPI number?
The NPI number for Fresh Meadows Physician Practice PLLC is 1720775083. It was assigned to this organization in the NPPES registry on April 18, 2023.
Where is Fresh Meadows Physician Practice PLLC located?
Fresh Meadows Physician Practice PLLC is located at 9131 175th St, Jamaica, NY 11432. The listed phone number is (718) 709-0940.
What is Fresh Meadows Physician Practice PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Fresh Meadows Physician Practice PLLC enrolled in Medicare?
Yes. Fresh Meadows Physician Practice PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fresh Meadows Physician Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 9 Medicare specialties reassign their Medicare billing to Fresh Meadows Physician Practice PLLC. 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 Internal Medicine (30), Nurse Practitioner (25) and Family Practice (3). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fresh Meadows Physician Practice PLLC was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Fresh Meadows Physician Practice Pllc · NPI 1720775083
Internal Medicine organization in Jamaica, New York. Organization record, active in the CMS NPPES registry since April 18, 2023.
## Identity
- **NPI:** 1720775083 (Entity type: Organization)
- **Enumerated:** April 18, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Peyman Younesi, OWNER
## Practice location
- **Address:** 9131 175TH ST, Jamaica, NY 11432-5517
- **Phone:** (718) 709-0940
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 68 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (30), Nurse Practitioner (25), Family Practice (3); 1 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1720775083/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1720775083) · Data from the CMS NPPES public registry.