PRIMARY MED CLINIC LLC
NPI 1942007414
Family Medicine in Tucson, AZ
About Primary Med Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY MED CLINIC LLC (NPI 1942007414), doing business as Primary Med Clinic, is a healthcare organization registered as a family medicine in Tucson, Arizona and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Pawan Chabra, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Primary Med Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Primary Med Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. 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 03D2331255
Primary Med Clinic, LLC · Tucson, AZFrequently 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 Primary Med Clinic LLC's NPI number?
The NPI number for Primary Med Clinic LLC is 1942007414. It was assigned to this organization in the NPPES registry on March 3, 2025. The provider is doing business as Primary Med Clinic.
Where is Primary Med Clinic LLC located?
Primary Med Clinic LLC is located at 4717 E Camp Lowell Dr, Tucson, AZ 85712. The listed phone number is (412) 225-5090.
What is Primary Med Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Primary Med Clinic LLC enrolled in Medicare?
Yes. Primary Med Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Med Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Primary Med Clinic LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Med Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2331255) is associated with this NPI, valid through September 28, 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 Primary Med Clinic LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Primary Med Clinic Llc · NPI 1942007414
Family Medicine organization in Tucson, Arizona. Organization record, active in the CMS NPPES registry since March 3, 2025.
## Identity
- **NPI:** 1942007414 (Entity type: Organization)
- **Enumerated:** March 3, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Primary Med Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Pawan Chabra, OWNER
## Practice location
- **Address:** 4717 E CAMP LOWELL DR, Tucson, AZ 85712-1256
- **Phone:** (412) 225-5090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942007414) · Data from the CMS NPPES public registry.