BHASKER MEDICAL CLINIC PC
NPI 1821189101
Family Medicine in Socorro, NM
About Bhasker Medical Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BHASKER MEDICAL CLINIC PC (NPI 1821189101) is a healthcare organization registered as a family medicine in Socorro, New Mexico and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Addy Bhasker, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
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)
Bhasker Medical Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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 Bhasker Medical Clinic PC, 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 32D0536895
Bhasker Medical Clinic · Socorro, NMFrequently 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 Bhasker Medical Clinic PC's NPI number?
The NPI number for Bhasker Medical Clinic PC is 1821189101. It was assigned to this organization in the NPPES registry on September 28, 2006.
Where is Bhasker Medical Clinic PC located?
Bhasker Medical Clinic PC is located at 200 Neel Ave, Socorro, NM 87801. The listed phone number is (575) 835-2940.
What is Bhasker Medical Clinic PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bhasker Medical Clinic PC enrolled in Medicare?
Yes. Bhasker Medical Clinic PC is registered in the Medicare PECOS enrollment system.
When is Bhasker Medical Clinic PC'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 (New Mexico, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Bhasker Medical Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Bhasker Medical Clinic PC. 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 Bhasker Medical Clinic PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D0536895) is associated with this NPI, valid through October 5, 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 Bhasker Medical Clinic PC was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Bhasker Medical Clinic Pc · NPI 1821189101
Family Medicine organization in Socorro, New Mexico. Organization record, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1821189101 (Entity type: Organization)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Addy Bhasker, ADMINISTRATOR
## Practice location
- **Address:** 200 NEEL AVE, Socorro, NM 87801-4649
- **Phone:** (575) 835-2940 · **Fax:** (575) 835-2216
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New Mexico, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2015
- **Other identifiers:** Medicare ID-Type Unspecified 2371968 (NM); Medicare NSC 0326250001 (NM); Other 201051377 (NM); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821189101) · Data from the CMS NPPES public registry.