HEARTLAND PRIMARY CARE SC
NPI 1871715227
Internal Medicine in Bolingbrook, IL
About Heartland Primary Care Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEARTLAND PRIMARY CARE SC (NPI 1871715227) is a healthcare organization registered as an internal medicine in Bolingbrook, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Srilakshmi Vemareddy, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Heartland Primary Care Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Heartland Primary Care Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 14D1069010
Heartland Primary Care S C · Bolingbrook, 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 Heartland Primary Care Sc's NPI number?
The NPI number for Heartland Primary Care Sc is 1871715227. It was assigned to this organization in the NPPES registry on May 3, 2007.
Where is Heartland Primary Care Sc located?
Heartland Primary Care Sc is located at 215 Remington Blvd Suite F, Bolingbrook, IL 60440. The listed phone number is (630) 378-4880.
What is Heartland Primary Care Sc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Heartland Primary Care Sc enrolled in Medicare?
Yes. Heartland Primary Care Sc is registered in the Medicare PECOS enrollment system.
When is Heartland Primary Care Sc'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 (Illinois, Clinic/Group Practice) is due for revalidation by March 31, 2027. 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 Heartland Primary Care Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Heartland Primary Care Sc, in Family Practice and Internal Medicine. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Heartland Primary Care Sc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1069010) is associated with this NPI, valid through May 24, 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 Heartland Primary Care Sc was last updated on December 31, 2014. 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.
# Heartland Primary Care Sc · NPI 1871715227
Internal Medicine organization in Bolingbrook, Illinois. Organization record, active in the CMS NPPES registry since May 3, 2007.
## Identity
- **NPI:** 1871715227 (Entity type: Organization)
- **Enumerated:** May 3, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Srilakshmi Vemareddy, PHYSICIAN
## Practice location
- **Address:** 215 REMINGTON BLVD, SUITE F, Bolingbrook, IL 60440-3662
- **Phone:** (630) 378-4880 · **Fax:** (630) 378-4481
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Illinois, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 31, 2014
- **Other identifiers:** Other 036109580 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871715227) · Data from the CMS NPPES public registry.