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DELACOTERA HEALTH CARE ASSOCIATION
NPI 1013984558
Family Medicine in Shenandoah, TX

Active since March 03, 2006CLIA 45D2119028 · Waiver
129 VISION PARK BLVD STE 200, SHENANDOAH, TX 77384(281) 248-8872(281) 248-8875 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2025, Nov 18, 2019 (2 updates tracked since 2019).

About Delacotera Health Care Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELACOTERA HEALTH CARE ASSOCIATION (NPI 1013984558) is a healthcare organization registered as a family medicine in Shenandoah, Texas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through September 18, 2028 and lists Rodrigo De La Cotera Jule, Owner/ Doctor, as its authorized official.

NPPES Registry Identity

NPI1013984558
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDELACOTERA HEALTH CARE ASSOCIATION
Location Address129 VISION PARK BLVD STE 200Shenandoah, TX 77384-3024
Mailing Address129 Vision Park Blvd Ste 200Shenandoah, TX 77384-3024 · (281) 248-8872 · Fax (281) 248-8875
Phone(281) 248-8872
Fax(281) 248-8875
Organization SubpartNo
Authorized OfficialRodrigo De La Cotera JuleOwner/ Doctor · (281) 248-8872
Enumeration DateMarch 3, 2006
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1013984558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M1621
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.
Also ListedSpecialistTaxonomy 174400000X
Also ListedInternal MedicineTaxonomy 207R00000X
129 VISION PARK BLVD STE 200, Shenandoah, TX 77384
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Other Identifiers 1

Medicaid178522201TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Delacotera Health Care Association 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 Delacotera Health Care Association, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rodrigo De La Cotera Jule, M.D.
Internal Medicine
NPI 1235126319
129 VISION PARK BLVD STE 200
Shenandoah, TX 77384
(281) 248-8872
✔ PECOS✔ Accepts MedicareSame address

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 45D2119028

Delacotera Health Care Association · Shenandoah, TX
Active · expires Sep 18, 2028
CLIA Number45D2119028
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2026
Certificate Expiration DateSeptember 18, 2028
Laboratory DirectorRodrigo De La Cotera
Laboratory Phone(281) 248-8872
Laboratory LocationDelacotera Health Care Association129 Vision Park Blvd, # 200, Shenandoah, TX 77384
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Delacotera Health Care Association's NPI number?

The NPI number for Delacotera Health Care Association is 1013984558. It was assigned to this organization in the NPPES registry on March 3, 2006.

Where is Delacotera Health Care Association located?

Delacotera Health Care Association is located at 129 Vision Park Blvd Ste 200, Shenandoah, TX 77384. The listed phone number is (281) 248-8872.

What is Delacotera Health Care Association's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Delacotera Health Care Association enrolled in Medicare?

Yes. Delacotera Health Care Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Delacotera Health Care Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Delacotera Health Care Association. 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 Delacotera Health Care Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2119028) is associated with this NPI, valid through September 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Delacotera Health Care Association was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.