RUPA PACHIGOLLA MD PSC
NPI 1003013350
Family Medicine in Weatherford, TX
About Rupa Pachigolla Md Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUPA PACHIGOLLA MD PSC (NPI 1003013350) is a healthcare organization registered as a family medicine in Weatherford, Texas and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Rupa Pachigolla, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 9
Group Practice 1
Accepted Insurance
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)
Rupa Pachigolla Md Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Rupa Pachigolla MD Psc, 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.
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 45D1093868
Rupa Pachigolla, MD Psc · Weatherford, TXFrequently 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 Rupa Pachigolla MD Psc's NPI number?
The NPI number for Rupa Pachigolla MD Psc is 1003013350. It was assigned to this organization in the NPPES registry on June 29, 2007.
Where is Rupa Pachigolla MD Psc located?
Rupa Pachigolla MD Psc is located at 2016 Fort Worth Hwy, Weatherford, TX 76086. The listed phone number is (817) 596-8637.
What is Rupa Pachigolla MD Psc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rupa Pachigolla MD Psc enrolled in Medicare?
Yes. Rupa Pachigolla MD Psc is registered in the Medicare PECOS enrollment system.
When is Rupa Pachigolla MD Psc'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 (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Rupa Pachigolla MD Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Rupa Pachigolla MD Psc. 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 Rupa Pachigolla MD Psc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D1093868) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rupa Pachigolla MD Psc accept?
Health plans from Molina Healthcare list Rupa Pachigolla MD Psc 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 Rupa Pachigolla MD Psc was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Rupa Pachigolla Md Psc · NPI 1003013350
Family Medicine organization in Weatherford, Texas. Organization record, active in the CMS NPPES registry since June 29, 2007.
## Identity
- **NPI:** 1003013350 (Entity type: Organization)
- **Enumerated:** June 29, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Rupa Pachigolla, PHYSICIAN
## Practice location
- **Address:** 2016 FORT WORTH HWY, Weatherford, TX 76086-4706
- **Phone:** (817) 596-8637 · **Fax:** (817) 599-3614
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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:** April 28, 2022
- **Other identifiers:** Other 45D1093868 (TX); Other 00Z738 (TX); Other N0337 (TX); and 6 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003013350) · Data from the CMS NPPES public registry.