MINEOLA MEDICAL CENTER PLLC
NPI 1053955039
Internal Medicine in Mineola, TX
About Mineola Medical Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINEOLA MEDICAL CENTER PLLC (NPI 1053955039) is a healthcare organization registered as an internal medicine in Mineola, Texas and active in the NPI registry since November 2019. The organization lists Aderemi Adewuyi, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mineola Medical Center Pllc 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 Mineola Medical Center PLLC, 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.
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 Mineola Medical Center PLLC's NPI number?
The NPI number for Mineola Medical Center PLLC is 1053955039. It was assigned to this organization in the NPPES registry on November 1, 2019.
Where is Mineola Medical Center PLLC located?
Mineola Medical Center PLLC is located at 415 W Kilpatrick St, Mineola, TX 75773. The listed phone number is (903) 569-2006.
What is Mineola Medical Center PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mineola Medical Center PLLC enrolled in Medicare?
Yes. Mineola Medical Center PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mineola Medical Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Mineola Medical Center PLLC. 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.
When was this NPI record last updated?
The NPPES record for Mineola Medical Center PLLC was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mineola Medical Center Pllc · NPI 1053955039
Internal Medicine organization in Mineola, Texas. Organization record, active in the CMS NPPES registry since November 1, 2019.
## Identity
- **NPI:** 1053955039 (Entity type: Organization)
- **Enumerated:** November 1, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Aderemi Adewuyi, MEDICAL DIRECTOR
## Practice location
- **Address:** 415 W KILPATRICK ST, Mineola, TX 75773-2032
- **Phone:** (903) 569-2006
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1053955039) · Data from the CMS NPPES public registry.