PROGRESSED MEDICAL PROFESSIONAL CORPORATION
NPI 1851003636
Clinic/Center - Primary Care in Melville, NY
About Progressed Medical Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROGRESSED MEDICAL PROFESSIONAL CORPORATION (NPI 1851003636) is a healthcare organization registered as a primary care in Melville, New York and active in the NPI registry since December 2022. The organization maintains a secondary practice location in New York and lists Bo Headlam, Founder, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Progressed Medical Professional Corporation 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 Progressed Medical Professional Corporation, 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.
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 Progressed Medical Professional Corporation's NPI number?
The NPI number for Progressed Medical Professional Corporation is 1851003636. It was assigned to this organization in the NPPES registry on December 23, 2022.
Where is Progressed Medical Professional Corporation located?
Progressed Medical Professional Corporation is located at 68 S Service Rd Ste 100, Melville, NY 11747. The listed phone number is (646) 895-1174.
What is Progressed Medical Professional Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Progressed Medical Professional Corporation enrolled in Medicare?
Yes. Progressed Medical Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Progressed Medical Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Progressed Medical Professional Corporation. 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.
When was this NPI record last updated?
The NPPES record for Progressed Medical Professional Corporation was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Progressed Medical Professional Corporation · NPI 1851003636
Primary Care organization in Melville, New York. Organization record, active in the CMS NPPES registry since December 23, 2022.
## Identity
- **NPI:** 1851003636 (Entity type: Organization)
- **Enumerated:** December 23, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Bo Headlam, FOUNDER
## Practice location
- **Address:** 68 S SERVICE RD STE 100, Melville, NY 11747-2350
- **Phone:** (646) 895-1174
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851003636) · Data from the CMS NPPES public registry.