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DELTA MEDICAL CLINIC
NPI 1073550919
Internal Medicine in Burleson, TX

Active since May 31, 2006CLIA 45D1017853 · Waiver
12001 SOUTH FWY, SUITE 210, BURLESON, TX 76028(817) 293-8797 Get Directions Write a Review

NPPES record last updated: April 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Delta Medical Clinic NPPES

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

DELTA MEDICAL CLINIC (NPI 1073550919) is a healthcare organization registered as an internal medicine in Burleson, Texas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 14, 2028 and lists Kofoworola Ekadi, President, as its authorized official.

NPPES Registry Identity

NPI1073550919
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDELTA MEDICAL PA
Location Address12001 SOUTH FWY, SUITE 210Burleson, TX 76028-7208
Mailing AddressPo Box 93869Southlake, TX 76092-0118 · (817) 293-8797
Phone(817) 293-8797
Organization SubpartNo
Authorized OfficialKofoworola EkadiPresident · (817) 412-8769
Enumeration DateMay 31, 2006
Last NPPES UpdateApril 8, 2023
NPPES CertifiedApril 8, 2023
✔ NPI 1073550919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · K9263
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12001 SOUTH FWY, Burleson, TX 76028
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Other Names 1

Doing Business AsDelta Medical Clinic

Other Identifiers 2

Other00W561TX · Medicare
OtherP00053593TX · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 45D1017853

Delta Medical PA Kofoworola Ekadi · Burleson, TX
Active · expires Jan 14, 2028
CLIA Number45D1017853
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2026
Certificate Expiration DateJanuary 14, 2028
Laboratory DirectorKofoworola Ekadi
Laboratory Phone(817) 293-8797
Laboratory LocationDelta Medical PA Kofoworola Ekadi12001 S Freeway #210, Burleson, TX 76028
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOHAMMED BASEM CHAKER M.D.
Dermatology
12001 SOUTH FWY, SUITE 205
BURLESON, TX 76028
Johnson County (817) 568-0500
DR. ANH KHANH KHAC VU D.O.
Internal Medicine
12001 SOUTH FWY, SUITE 307
BURLESON, TX 76028
Johnson County (817) 568-8700
DR. KIRAN POLAVARAPU M.D.
Surgery (Plastic and Reconstructive Surgery)
12001 SOUTH FWY, SUITE 302
BURLESON, TX 76028
Johnson County (817) 615-8576
GASTROENTEROLOGY CENTER, PA
Internal Medicine (Gastroenterology)
12001 SOUTH FWY, STE 305
BURLESON, TX 76028
Johnson County (817) 551-6161
TEXAS HEALTH HUGULEY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
12001 SOUTH FWY, SUITE 101
BURLESON, TX 76028
Johnson County (817) 615-4400
M. BASEM CHAKER, M.D. P.A.
Dermatology
12001 SOUTH FWY, SUITE 205
BURLESON, TX 76028
Johnson County (817) 568-0500
DR. ROBERT CHIANG M.D.
Ophthalmology
12001 SOUTH FWY, SUITE 200
BURLESON, TX 76028
Johnson County (817) 447-8383
CHARLES R PAYERLE, DDS, MD, PLLC
Dentist (Oral and Maxillofacial Surgery)
12001 SOUTH FWY, SUITE 207
BURLESON, TX 76028
Johnson County (817) 568-6811

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 Delta Medical PA's NPI number?

The NPI number for Delta Medical PA is 1073550919. It was assigned to this organization in the NPPES registry on May 31, 2006. The provider is doing business as Delta Medical Clinic.

Where is Delta Medical PA located?

Delta Medical PA is located at 12001 South Fwy Suite 210, Burleson, TX 76028. The listed phone number is (817) 293-8797.

What is Delta Medical PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Delta Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1017853) is associated with this NPI, valid through January 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Delta Medical PA was last updated on April 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.