BROOME DDSO CLINIC
NPI 1902939044
Clinic/Center - Developmental Disabilities in Binghamton, NY
About Broome Ddso Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOME DDSO CLINIC (NPI 1902939044) is a healthcare organization registered as a developmental disabilities in Binghamton, New York and active in the NPI registry since March 2007. The organization lists Karla Smith, Director Of Central Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Broome Ddso Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 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
53Medicare enrollment records show 53 clinicians reassign Medicare billing to Broome Ddso Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 53Source: 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 Broome Ddso Clinic's NPI number?
The NPI number for Broome Ddso Clinic is 1902939044. It was assigned to this organization in the NPPES registry on March 14, 2007.
Where is Broome Ddso Clinic located?
Broome Ddso Clinic is located at 229-231 State St, Binghamton, NY 13901. The listed phone number is (518) 402-4333.
What is Broome Ddso Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.
Is Broome Ddso Clinic enrolled in Medicare?
Yes. Broome Ddso Clinic is registered in the Medicare PECOS enrollment system.
When is Broome Ddso Clinic'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 York, Clinic/Group Practice) is due for revalidation by January 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 Broome Ddso Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 16 Medicare specialties reassign their Medicare billing to Broome Ddso Clinic. 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. The largest specialties are Internal Medicine (14), Nurse Practitioner (10) and Physical Medicine and Rehabilitation (8). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Broome Ddso Clinic was last updated on August 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Broome Ddso Clinic · NPI 1902939044
Developmental Disabilities organization in Binghamton, New York. Organization record, active in the CMS NPPES registry since March 14, 2007.
## Identity
- **NPI:** 1902939044 (Entity type: Organization)
- **Enumerated:** March 14, 2007
- **Primary specialty:** Clinic/Center - Developmental Disabilities · taxonomy 261QD1600X
- **Organization subpart:** No
- **Authorized official:** Karla Smith, DIRECTOR OF CENTRAL OPERATIONS
## Practice location
- **Address:** 229-231 STATE ST, Binghamton, NY 13901-2756
- **Phone:** (518) 402-4333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 53 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (14), Nurse Practitioner (10), Physical Medicine and Rehabilitation (8); [full list](https://npiprofile.com/npi/1902939044/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2009
- **Other identifiers:** Medicaid 01419121 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1902939044) · Data from the CMS NPPES public registry.