PEDIATRIC & FAMILY PHYSICIANS PA
NPI 1053531210
Family Medicine in Flower Mound, TX
About Pediatric & Family Physicians Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRIC & FAMILY PHYSICIANS PA (NPI 1053531210) is a healthcare organization registered as a family medicine in Flower Mound, Texas and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Harminder S Dhaliwal, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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)
Pediatric & Family Physicians 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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Pediatric & Family Physicians PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 45D0950668
Pediatric & Family Physicians PA · Flower Mound, 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 Pediatric & Family Physicians PA's NPI number?
The NPI number for Pediatric & Family Physicians PA is 1053531210. It was assigned to this organization in the NPPES registry on April 27, 2007.
Where is Pediatric & Family Physicians PA located?
Pediatric & Family Physicians PA is located at 4900 Long Prairie Rd Suite 100, Flower Mound, TX 75028. The listed phone number is (972) 691-4100.
What is Pediatric & Family Physicians PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pediatric & Family Physicians PA enrolled in Medicare?
Yes. Pediatric & Family Physicians PA is registered in the Medicare PECOS enrollment system.
When is Pediatric & Family Physicians 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 Pediatric & Family Physicians PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Pediatric & Family Physicians 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pediatric & Family Physicians PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0950668) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pediatric & Family Physicians PA accept?
Health plans from WellPoint list Pediatric & Family Physicians PA 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 Pediatric & Family Physicians PA was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Pediatric & Family Physicians Pa · NPI 1053531210
Family Medicine organization in Flower Mound, Texas. Organization record, active in the CMS NPPES registry since April 27, 2007.
## Identity
- **NPI:** 1053531210 (Entity type: Organization)
- **Enumerated:** April 27, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Harminder Dhaliwal, PARTNER
## Practice location
- **Address:** 4900 LONG PRAIRIE RD, SUITE 100, Flower Mound, TX 75028-2287
- **Phone:** (972) 691-4100 · **Fax:** (972) 691-4118
## 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:** 3 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2010
- **Other identifiers:** Medicare UPIN G35370 (TX); Medicare UPIN G37166 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053531210) · Data from the CMS NPPES public registry.