MAXCARE CLINIC LLC
NPI 1730833633
Clinic/Center - Health Service in Jacksonville, FL

Active since February 09, 2022
5547 NORMANDY BLVD, JACKSONVILLE, FL 32205(904) 386-6785 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 26, 2022, Feb 9, 2022 (2 updates tracked since 2022).

About Maxcare Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXCARE CLINIC LLC (NPI 1730833633) is a healthcare organization registered as a health service in Jacksonville, Florida and active in the NPI registry since February 2022. The organization lists Ankur Parikh, Owner, as its authorized official.

NPPES Registry Identity

NPI1730833633
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMAXCARE CLINIC LLC
Location Address5547 NORMANDY BLVDJacksonville, FL 32205-6246
Mailing AddressPo Box 600914Saint Johns, FL 32260-0914 · (904) 386-6785
Organization SubpartNo
Authorized OfficialAnkur ParikhOwner · (904) 386-6785
Enumeration DateFebruary 9, 2022
Last NPPES UpdateOctober 26, 20222 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1730833633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedFamily MedicineTaxonomy 207Q00000X
5547 NORMANDY BLVD, Jacksonville, FL 32205

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxcare Clinic Llc 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 Maxcare Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1609431386
450 BROOKLINE AVE
Boston, MA 02215
(617) 632-6300
✔ PECOS✔ Accepts Medicare1,018 mi

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 10D2197687

Maxcare Clinic · Jacksonville, FL
Expired · Oct 26, 2026
CLIA Number10D2197687
Laboratory TypePractitioner Other
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorRashid I. Saba
Laboratory Phone(904) 801-3105
Laboratory LocationMaxcare Clinic5547 Normandy Blvd, Jacksonville, FL 32205
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Maxcare Clinic LLC's NPI number?

The NPI number for Maxcare Clinic LLC is 1730833633. It was assigned to this organization in the NPPES registry on February 9, 2022.

Where is Maxcare Clinic LLC located?

Maxcare Clinic LLC is located at 5547 Normandy Blvd, Jacksonville, FL 32205. The listed phone number is (904) 386-6785.

What is Maxcare Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Maxcare Clinic LLC enrolled in Medicare?

Yes. Maxcare Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maxcare Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Maxcare 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.

When was this NPI record last updated?

The NPPES record for Maxcare Clinic LLC was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.