PRIMECARE NORTHWEST
NPI 1730235870
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL
About Primecare Northwest NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMECARE NORTHWEST (NPI 1730235870) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Joseph Moldovan, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
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)
Primecare Northwest is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
76Medicare enrollment records show 76 clinicians reassign Medicare billing to Primecare Northwest, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 60 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 76Chicago, IL 60615
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) 14D0427071
Primecare Northwest · Chicago, 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 Primecare Community Health, Inc.'s NPI number?
The NPI number for Primecare Community Health, Inc. is 1730235870. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Primecare Northwest.
Where is Primecare Community Health, Inc. located?
Primecare Community Health, Inc. is located at 1649 N Pulaski Rd, Chicago, IL 60639. The listed phone number is (773) 278-6868.
What is Primecare Community Health, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Primecare Community Health, Inc. enrolled in Medicare?
Yes. Primecare Community Health, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primecare Community Health, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 76 clinicians in 9 Medicare specialties reassign their Medicare billing to Primecare Community Health, Inc.. 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 Family Practice (32), Clinical Social Worker (16) and Nurse Practitioner (13). Of these, 4 practice at this address and 60 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primecare Community Health, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0427071) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Primecare Community Health, Inc. accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Primecare Community Health, Inc. 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 Primecare Community Health, Inc. was last updated on October 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Primecare Northwest · NPI 1730235870
Federally Qualified Health Center (FQHC) organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1730235870 (Entity type: Organization)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Primecare Community Health, Inc.
- **Organization subpart:** No
- **Authorized official:** Joseph Moldovan, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 1649 N PULASKI RD, Chicago, IL 60639-5207
- **Phone:** (773) 278-6868 · **Fax:** (773) 278-6922
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 76 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (32), Clinical Social Worker (16), Nurse Practitioner (13); 4 practice at this address and 60 within 10 miles; [full list](https://npiprofile.com/npi/1730235870/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2017
- **Other identifiers:** Medicare OSCAR/certification 141986 (IL); Medicare OSCAR/certification 324020 (IL); Medicaid =========009 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730235870) · Data from the CMS NPPES public registry.