PILSEN MEDICAL CLINIC & ASSOCIATES, LLC
NPI 1790039725
Family Medicine in Elmhurst, IL
About Pilsen Medical Clinic & Associates, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PILSEN MEDICAL CLINIC & ASSOCIATES, LLC (NPI 1790039725) is a healthcare organization registered as a family medicine in Elmhurst, Illinois and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Naseem Fatima, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pilsen Medical Clinic & Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Pilsen Medical Clinic & Associates, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
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 14D2343183
Pilsen Medical Clinic & Associates · Elmhurst, 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 Pilsen Medical Clinic & Associates, LLC's NPI number?
The NPI number for Pilsen Medical Clinic & Associates, LLC is 1790039725. It was assigned to this organization in the NPPES registry on October 29, 2012.
Where is Pilsen Medical Clinic & Associates, LLC located?
Pilsen Medical Clinic & Associates, LLC is located at 533 W North Ave Ste 101, Elmhurst, IL 60126. The listed phone number is (312) 738-3355.
What is Pilsen Medical Clinic & Associates, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pilsen Medical Clinic & Associates, LLC enrolled in Medicare?
Yes. Pilsen Medical Clinic & Associates, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pilsen Medical Clinic & Associates, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Pilsen Medical Clinic & Associates, 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 Nurse Practitioner (5), Family Practice (2) and Internal Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pilsen Medical Clinic & Associates, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2343183) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pilsen Medical Clinic & Associates, LLC was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Pilsen Medical Clinic & Associates, Llc · NPI 1790039725
Family Medicine organization in Elmhurst, Illinois. Organization record, active in the CMS NPPES registry since October 29, 2012.
## Identity
- **NPI:** 1790039725 (Entity type: Organization)
- **Enumerated:** October 29, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Naseem Fatima, OWNER
## Practice location
- **Address:** 533 W NORTH AVE STE 101, Elmhurst, IL 60126-2100
- **Phone:** (312) 738-3355 · **Fax:** (312) 564-5252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (2), Internal Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790039725) · Data from the CMS NPPES public registry.