YUMA UROLOGY CENTER PLLC
NPI 1841482577
Urology in Yuma, AZ

Active since August 16, 2007CLIA 03D1075315 · Waiver
2275 S ELKS LN, YUMA, AZ 85364(928) 341-1900(928) 341-1973 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2020, Apr 18, 2018, Jan 12, 2018 (3 updates tracked since 2018).

About Yuma Urology Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YUMA UROLOGY CENTER PLLC (NPI 1841482577) is a healthcare organization registered as an urology in Yuma, Arizona and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 2, 2028 and lists Natakom Nash Chulamorkodt, President, as its authorized official.

NPPES Registry Identity

NPI1841482577
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameYUMA UROLOGY CENTER PLLC
Location Address2275 S ELKS LNYuma, AZ 85364-6258
Mailing AddressPo Box 6514Yuma, AZ 85366-2522 · (928) 257-8699 · Fax (928) 341-1973
Fax(928) 341-1973
Organization SubpartNo
Authorized OfficialNatakom Nash ChulamorkodtPresident · (773) 501-7706
Enumeration DateAugust 16, 2007
Last NPPES UpdateAugust 12, 20203 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
✔ NPI 1841482577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License 37017 (AZ)
2275 S ELKS LN, Yuma, AZ 85364

Other Identifiers 1

Medicaid1043388481AZ

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yuma Urology Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Yuma Urology Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1043388481
2275 S ELKS LN
Yuma, AZ 85364
(928) 257-8699
✔ PECOS✔ Accepts MedicareSame address

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 03D1075315

Yuma Urology Center · Yuma, AZ
Active · expires Aug 2, 2028
CLIA Number03D1075315
Laboratory TypePhysician Office
Certificate Effective DateAugust 3, 2026
Certificate Expiration DateAugust 2, 2028
Laboratory DirectorNatakom N. Chulamorkodt
Laboratory Phone(928) 257-8699
Laboratory LocationYuma Urology Center2275 S Elks Ln, Yuma, AZ 85364
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Yuma Urology Center PLLC's NPI number?

The NPI number for Yuma Urology Center PLLC is 1841482577. It was assigned to this organization in the NPPES registry on August 16, 2007.

Where is Yuma Urology Center PLLC located?

Yuma Urology Center PLLC is located at 2275 S Elks Ln, Yuma, AZ 85364. The listed phone number is (928) 341-1900.

What is Yuma Urology Center PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Yuma Urology Center PLLC enrolled in Medicare?

Yes. Yuma Urology Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yuma Urology Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Yuma Urology Center PLLC. 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 Yuma Urology Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1075315) is associated with this NPI, valid through August 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 Yuma Urology Center PLLC was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.