PANAMERICANA FAMILY MEDICINE CLINIC PLLC
NPI 1063917896
Family Medicine in Houston, TX

Active since March 26, 2018CLIA 45D2151306 · Waiver
1900 BLALOCK RD # 1900M, HOUSTON, TX 77080(713) 480-9129 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Panamericana Family Medicine Clinic Pllc NPPES

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

PANAMERICANA FAMILY MEDICINE CLINIC PLLC (NPI 1063917896) is a healthcare organization registered as a family medicine in Houston, Texas and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Carmen E. Vega, Manager, as its authorized official.

NPPES Registry Identity

NPI1063917896
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePANAMERICANA FAMILY MEDICINE CLINIC PLLC
Location Address1900 BLALOCK RD # 1900MHouston, TX 77080-5450
Mailing Address7126 Rancheria DrHouston, TX 77083-4330 · (713) 240-1221
Organization SubpartNo
Authorized OfficialCarmen E. VegaManager · (713) 480-9129
Enumeration DateMarch 26, 2018
✔ NPI 1063917896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1900 BLALOCK RD # 1900M, Houston, TX 77080

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Panamericana Family Medicine Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Panamericana Family Medicine Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Emergency Medicine
NPI 1598990772
1900 BLALOCK RD STE M
Houston, TX 77080
(713) 661-7888
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689102782
1900 BLALOCK RD STE M
Houston, TX 77080
(281) 589-8500
✔ PECOSSame 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 45D2151306

Panamericana Family Medicine Clinic, PLLC · Houston, TX
Active · expires Jul 16, 2028
CLIA Number45D2151306
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorFrancisco G. Lopez Godoy
Laboratory Phone(832) 831-4883
Laboratory LocationPanamericana Family Medicine Clinic, PLLC1900 Blalock Rd Suite M, Houston, TX 77080
CLIA data matches this NPI record on: Name
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 Panamericana Family Medicine Clinic PLLC's NPI number?

The NPI number for Panamericana Family Medicine Clinic PLLC is 1063917896. It was assigned to this organization in the NPPES registry on March 26, 2018.

Where is Panamericana Family Medicine Clinic PLLC located?

Panamericana Family Medicine Clinic PLLC is located at 1900 Blalock Rd # 1900M, Houston, TX 77080. The listed phone number is (713) 480-9129.

What is Panamericana Family Medicine Clinic PLLC's specialty?

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

Is Panamericana Family Medicine Clinic PLLC enrolled in Medicare?

Yes. Panamericana Family Medicine Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Panamericana Family Medicine Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Panamericana Family Medicine Clinic PLLC, in Emergency 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Panamericana Family Medicine Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2151306) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Panamericana Family Medicine Clinic PLLC accept?

Health plans from WellPoint list Panamericana Family Medicine Clinic 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 Panamericana Family Medicine Clinic PLLC was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.