PMR ILLINOIS HOLDING, LLC
NPI 1770038671
Specialist in Miami Gardens, FL
About Pmr Illinois Holding, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PMR ILLINOIS HOLDING, LLC (NPI 1770038671) is a healthcare organization registered as a specialist in Miami Gardens, Florida and active in the NPI registry since August 2016. The organization lists Mary Chen, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Pmr Illinois Holding, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 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
75Medicare enrollment records show 75 clinicians reassign Medicare billing to Pmr Illinois Holding, LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 75Pittsburgh, PA 15219
Peoria, IL 61637
Glenwood, IL 60425
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 Pmr Illinois Holding, LLC's NPI number?
The NPI number for Pmr Illinois Holding, LLC is 1770038671. It was assigned to this organization in the NPPES registry on August 20, 2016.
Where is Pmr Illinois Holding, LLC located?
Pmr Illinois Holding, LLC is located at 1395 NW 167th St, Miami Gardens, FL 33169. The listed phone number is (305) 831-4760.
What is Pmr Illinois Holding, LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Pmr Illinois Holding, LLC enrolled in Medicare?
Yes. Pmr Illinois Holding, LLC is registered in the Medicare PECOS enrollment system.
When is Pmr Illinois Holding, 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 (Illinois, Clinic/Group Practice) is due for revalidation by January 31, 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 Pmr Illinois Holding, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 75 clinicians in 7 Medicare specialties reassign their Medicare billing to Pmr Illinois Holding, 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. The largest specialties are Internal Medicine (31), Family Practice (29) and Nephrology (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pmr Illinois Holding, LLC was last updated on August 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Pmr Illinois Holding, Llc · NPI 1770038671
Specialist organization in Miami Gardens, Florida. Organization record, active in the CMS NPPES registry since August 20, 2016.
## Identity
- **NPI:** 1770038671 (Entity type: Organization)
- **Enumerated:** August 20, 2016
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Mary Chen, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 1395 NW 167TH ST, Miami Gardens, FL 33169-5742
- **Phone:** (305) 831-4760
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Illinois, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 75 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (31), Family Practice (29), Nephrology (4); [full list](https://npiprofile.com/npi/1770038671/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1770038671) · Data from the CMS NPPES public registry.