GREENLEAF MEMORY CLINIC PLLC
NPI 1952278608
Psychiatry & Neurology - Neurology in Park City, IL
About Greenleaf Memory Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREENLEAF MEMORY CLINIC PLLC (NPI 1952278608) is a healthcare organization registered as a neurology in Park City, Illinois and active in the NPI registry since October 2025. The organization lists Malgorzata K Bach, Neurology/physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Greenleaf Memory Clinic 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 Greenleaf Memory Clinic PLLC, 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 Greenleaf Memory Clinic PLLC's NPI number?
The NPI number for Greenleaf Memory Clinic PLLC is 1952278608. It was assigned to this organization in the NPPES registry on October 18, 2025.
Where is Greenleaf Memory Clinic PLLC located?
Greenleaf Memory Clinic PLLC is located at 355 Greenleaf St Ste H, Park City, IL 60085. The listed phone number is (608) 320-9006.
What is Greenleaf Memory Clinic PLLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Greenleaf Memory Clinic PLLC enrolled in Medicare?
Yes. Greenleaf Memory Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Greenleaf Memory Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Greenleaf Memory Clinic 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.
When was this NPI record last updated?
The NPPES record for Greenleaf Memory Clinic PLLC was last updated on October 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Greenleaf Memory Clinic Pllc · NPI 1952278608
Neurology organization in Park City, Illinois. Organization record, active in the CMS NPPES registry since October 18, 2025.
## Identity
- **NPI:** 1952278608 (Entity type: Organization)
- **Enumerated:** October 18, 2025
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Malgorzata Bach, NEUROLOGY/PHYSICIAN/OWNER
## Practice location
- **Address:** 355 GREENLEAF ST STE H, Park City, IL 60085-5708
- **Phone:** (608) 320-9006 · **Fax:** (847) 999-3859
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Neurology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1952278608) · Data from the CMS NPPES public registry.