JAVIER MEDINA MD PA
NPI 1043302334
Family Medicine in Mission, TX
About Javier Medina Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAVIER MEDINA MD PA (NPI 1043302334) is a healthcare organization registered as a family medicine in Mission, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Adalia Saenz, Billing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
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)
Javier Medina Md Pa 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 Javier Medina MD PA, 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 45D0931659
Javier Medina MD PA · Mission, 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 Javier Medina MD PA's NPI number?
The NPI number for Javier Medina MD PA is 1043302334. It was assigned to this organization in the NPPES registry on September 28, 2006.
Where is Javier Medina MD PA located?
Javier Medina MD PA is located at 1924 E Griffin Parkway, Mission, TX 78572. The listed phone number is (956) 581-5100.
What is Javier Medina MD PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Javier Medina MD PA enrolled in Medicare?
Yes. Javier Medina MD PA is registered in the Medicare PECOS enrollment system.
When is Javier Medina MD PA'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 Javier Medina MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Javier Medina MD PA. 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 Javier Medina MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0931659) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Javier Medina MD PA was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Javier Medina Md Pa · NPI 1043302334
Family Medicine organization in Mission, Texas. Organization record, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1043302334 (Entity type: Organization)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Adalia Saenz, BILLING SPECIALIST
## Practice location
- **Address:** 1924 E GRIFFIN PARKWAY, Mission, TX 78572-3106
- **Phone:** (956) 581-5100 · **Fax:** (956) 581-8608
## 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:** July 9, 2015
- **Other identifiers:** Medicare UPIN F92895 (TX); Medicaid 189269701 (TN); Medicaid 111655001 (TX); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043302334) · Data from the CMS NPPES public registry.