SEDRA MEDICAL CLINIC PLC
NPI 1972840064
Family Medicine in Thief River Falls, MN
About Sedra Medical Clinic Plc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEDRA MEDICAL CLINIC PLC (NPI 1972840064) is a healthcare organization registered as a family medicine in Thief River Falls, Minnesota and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Hazem Sedra, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sedra Medical Clinic Plc 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 Sedra Medical Clinic Plc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Thief River Falls, MN 56701
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 24D2169930
Sedra Medical Clinic Plc · Thief River Falls, MNFrequently 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 Sedra Medical Clinic Plc's NPI number?
The NPI number for Sedra Medical Clinic Plc is 1972840064. It was assigned to this organization in the NPPES registry on January 9, 2013.
Where is Sedra Medical Clinic Plc located?
Sedra Medical Clinic Plc is located at 213 Labree Ave N Suite #207, Thief River Falls, MN 56701. The listed phone number is (218) 683-5137.
What is Sedra Medical Clinic Plc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sedra Medical Clinic Plc enrolled in Medicare?
Yes. Sedra Medical Clinic Plc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sedra Medical Clinic Plc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Sedra Medical Clinic Plc. 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.
Does Sedra Medical Clinic Plc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2169930) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sedra Medical Clinic Plc accept?
Health plans from Sanford Health Plan list Sedra Medical Clinic Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sedra Medical Clinic Plc was last updated on January 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Sedra Medical Clinic Plc · NPI 1972840064
Family Medicine organization in Thief River Falls, Minnesota. Organization record, active in the CMS NPPES registry since January 9, 2013.
## Identity
- **NPI:** 1972840064 (Entity type: Organization)
- **Enumerated:** January 9, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Hazem Sedra, PRESIDENT
## Practice location
- **Address:** 213 LABREE AVE N, SUITE #207, Thief River Falls, MN 56701-2022
- **Phone:** (218) 683-5137 · **Fax:** (218) 683-5413
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2013
- **Other identifiers:** Other 1669408753 (MN); Medicare PIN 080016582 (MN); Medicare UPIN IO3510 (MN); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1972840064) · Data from the CMS NPPES public registry.