PARK AVENUE MEDICAL
NPI 1740546399
Internal Medicine in Wallingford, CT
About Park Avenue Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK AVENUE MEDICAL (NPI 1740546399), doing business as Park Avenue Medical Llc, is a healthcare organization registered as an internal medicine in Wallingford, Connecticut and active in the NPI registry since April 2012. The organization lists Anace Said, Business Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Park Avenue Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Park Avenue Medical, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Wallingford, CT 06492
Source: 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 Park Avenue Medical's NPI number?
The NPI number for Park Avenue Medical is 1740546399. It was assigned to this organization in the NPPES registry on April 9, 2012. The provider was formerly known as Park Avenue Medical LLC.
Where is Park Avenue Medical located?
Park Avenue Medical is located at 85 Barnes Rd Ste 202, Wallingford, CT 06492. The listed phone number is (203) 309-0070.
What is Park Avenue Medical's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Park Avenue Medical enrolled in Medicare?
Yes. Park Avenue Medical is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Avenue Medical?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Park Avenue Medical. 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), Family Practice (1) and Internal Medicine (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Park Avenue Medical accept?
Health plans from Anthem Blue Cross and Blue Shield list Park Avenue Medical 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 Park Avenue Medical was last updated on June 20, 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.
# Park Avenue Medical · NPI 1740546399
Internal Medicine organization in Wallingford, Connecticut. Organization record, active in the CMS NPPES registry since April 9, 2012.
## Identity
- **NPI:** 1740546399 (Entity type: Organization)
- **Enumerated:** April 9, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Anace Said, BUSINESS OWNER
## Practice location
- **Address:** 85 BARNES RD STE 202, Wallingford, CT 06492
- **Phone:** (203) 309-0070 · **Fax:** (203) 309-0071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1), Internal Medicine (1); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2022
- **Other identifiers:** Medicaid 008002162 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1740546399) · Data from the CMS NPPES public registry.