RUPA PACHIGOLLA MD PSC
NPI 1003013350
Family Medicine in Weatherford, TX

Active since June 29, 2007CLIA 45D1093868 · Waiver
2016 FORT WORTH HWY, WEATHERFORD, TX 76086(817) 596-8637(817) 599-3614 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1003013350
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRUPA PACHIGOLLA MD PSC
Location Address2016 FORT WORTH HWYWeatherford, TX 76086-4706
Mailing Address2016 Fort Worth HwyWeatherford, TX 76086-4706 · (817) 596-8637 · Fax (817) 599-3614
Fax(817) 599-3614
Organization SubpartNo
Authorized OfficialRupa PachigollaPhysician · (817) 596-8637
Enumeration DateJune 29, 2007
Last NPPES UpdateApril 28, 2022
NPPES CertifiedApril 28, 2022
NPI 1003013350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · N0337
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2016 FORT WORTH HWY, Weatherford, TX 76086

Other Identifiers 9

Other45D1093868TX · Clia #
Other00Z738TX · Medicare Group Pin
OtherN0337TX · Texas License
Medicaid197261401TX
Other1639165731Mcre Indv Npi #
Other197259801TX · Medicaid Grp #
Medicaid1003013350TX
Medicaid64071715KY
Other38179KY · License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, TX
Active · expires Jan 4, 2027
CLIA Number45D1093868
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorRupa Pachigolla
Laboratory Phone(817) 596-8637
Laboratory LocationRupa Pachigolla, MD Psc2016 Fort Worth Highway, Weatherford, TX 76086
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
2016 FORT WORTH HWY
WEATHERFORD, TX 76086
Otolaryngology
2016 FORT WORTH HWY
WEATHERFORD, TX 76086
Family Medicine
2016 FORT WORTH HWY
WEATHERFORD, TX 76086

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 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.

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.