AMKY MSO-1 PLLC
NPI 1821817503
Family Medicine in Salem, IL
About Amky Mso-1 Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMKY MSO-1 PLLC (NPI 1821817503) is a healthcare organization registered as a family medicine in Salem, Illinois and active in the NPI registry since October 2024. The organization holds a CLIA Certificate of Compliance certificate valid through February 4, 2027 and lists Yugandhar Kandimalla, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
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)
Amky Mso-1 Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Amky Mso-1 PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
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 Compliance 14D2236474
Amky Mso-1 PLLC · Salem, 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 Amky Mso-1 PLLC's NPI number?
The NPI number for Amky Mso-1 PLLC is 1821817503. It was assigned to this organization in the NPPES registry on October 9, 2024.
Where is Amky Mso-1 PLLC located?
Amky Mso-1 PLLC is located at 1325 W Whittaker St Ste D, Salem, IL 62881. The listed phone number is (678) 982-3590.
What is Amky Mso-1 PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Amky Mso-1 PLLC enrolled in Medicare?
Yes. Amky Mso-1 PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Amky Mso-1 PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Amky Mso-1 PLLC, in Hospitalist, Internal Medicine and Nurse Practitioner. 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 Amky Mso-1 PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 14D2236474) is associated with this NPI, valid through February 4, 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 Amky Mso-1 PLLC was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Amky Mso-1 Pllc · NPI 1821817503
Family Medicine organization in Salem, Illinois. Organization record, active in the CMS NPPES registry since October 9, 2024.
## Identity
- **NPI:** 1821817503 (Entity type: Organization)
- **Enumerated:** October 9, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Yugandhar Kandimalla, PRESIDENT
## Practice location
- **Address:** 1325 W WHITTAKER ST STE D, Salem, IL 62881-2034
- **Phone:** (678) 982-3590
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Nurse Practitioner (2), Hospitalist (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821817503) · Data from the CMS NPPES public registry.