DFW GERIATRICS PLLC
NPI 1063835361
Internal Medicine in Irving, TX
About Dfw Geriatrics Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DFW GERIATRICS PLLC (NPI 1063835361) is a healthcare organization registered as an internal medicine in Irving, Texas and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through December 5, 2026 and lists Sumana Ketha, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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)
Dfw Geriatrics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 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
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Dfw Geriatrics PLLC, 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 (5)
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 45D2273088
Dfw Primary Care, PLLC · Irving, 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 Dfw Primary Care PLLC's NPI number?
The NPI number for Dfw Primary Care PLLC is 1063835361. It was assigned to this organization in the NPPES registry on January 23, 2014. The provider is doing business as Dfw Geriatrics PLLC.
Where is Dfw Primary Care PLLC located?
Dfw Primary Care PLLC is located at 2925 Skyway Cir N, Irving, TX 75038. The listed phone number is (972) 639-5838.
What is Dfw Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Dfw Primary Care PLLC enrolled in Medicare?
Yes. Dfw Primary Care PLLC is registered in the Medicare PECOS enrollment system.
When is Dfw Primary Care PLLC'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 December 31, 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 Dfw Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Dfw Primary Care PLLC, in General Practice, Internal Medicine and Nurse Practitioner. 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 Dfw Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2273088) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dfw Primary Care PLLC accept?
Health plans from Molina Healthcare and WellPoint list Dfw Primary Care PLLC 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 Dfw Primary Care PLLC was last updated on February 4, 2020. 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.
# Dfw Geriatrics Pllc · NPI 1063835361
Internal Medicine organization in Irving, Texas. Organization record, active in the CMS NPPES registry since January 23, 2014.
## Identity
- **NPI:** 1063835361 (Entity type: Organization)
- **Enumerated:** January 23, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Dfw Primary Care Pllc
- **Organization subpart:** No
- **Authorized official:** Sumana Ketha, PRESIDENT
## Practice location
- **Address:** 2925 SKYWAY CIR N, Irving, TX 75038-3510
- **Phone:** (972) 639-5838 · **Fax:** (972) 791-8211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Nurse Practitioner (2), General Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063835361) · Data from the CMS NPPES public registry.