WELLCARE MEDICAL CLINIC LLC
NPI 1730485616
Internal Medicine in Coral Springs, FL
About Wellcare Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLCARE MEDICAL CLINIC LLC (NPI 1730485616) is a healthcare organization registered as an internal medicine in Coral Springs, Florida and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Simon C Wong, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellcare Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wellcare Medical Clinic LLC, 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 10D2031031
Wellcare Medical Clinic · Coral Springs, FLFrequently 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 Wellcare Medical Clinic LLC's NPI number?
The NPI number for Wellcare Medical Clinic LLC is 1730485616. It was assigned to this organization in the NPPES registry on February 10, 2011.
Where is Wellcare Medical Clinic LLC located?
Wellcare Medical Clinic LLC is located at 2901 Coral Hills Drive Suite 250, Coral Springs, FL 33065. The listed phone number is (954) 603-5508.
What is Wellcare Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Wellcare Medical Clinic LLC enrolled in Medicare?
Yes. Wellcare Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
When is Wellcare Medical Clinic LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Wellcare Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Wellcare Medical Clinic LLC. 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 Wellcare Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2031031) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wellcare Medical Clinic LLC was last updated on February 10, 2011. 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.
# Wellcare Medical Clinic Llc · NPI 1730485616
Internal Medicine organization in Coral Springs, Florida. Organization record, active in the CMS NPPES registry since February 10, 2011.
## Identity
- **NPI:** 1730485616 (Entity type: Organization)
- **Enumerated:** February 10, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Simon Wong, PRESIDENT
## Practice location
- **Address:** 2901 CORAL HILLS DRIVE, SUITE 250, Coral Springs, FL 33065-4146
- **Phone:** (954) 603-5508
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** February 10, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730485616) · Data from the CMS NPPES public registry.