BAYLOR SCOTT & WHITE CLINIC - TEMPLE
NPI 1093779704
Internal Medicine in Temple, TX

Active since April 12, 2006CLIA Certified · 2 labs
2401 S 31ST ST, TEMPLE, TX 76508(254) 724-2111 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 1, 2024, Apr 18, 2024, Aug 25, 2022 (3 updates tracked since 2022).

About Baylor Scott & White Clinic - Temple NPPES

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

BAYLOR SCOTT & WHITE CLINIC - TEMPLE (NPI 1093779704) is a healthcare organization registered as an internal medicine in Temple, Texas and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists Alicia Cantu, System Director, Cbs, as its authorized official.

NPPES Registry Identity

NPI1093779704
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSCOTT & WHITE CLINIC
Location Address2401 S 31ST STTemple, TX 76508-0001
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-8800
Organization SubpartNo
Authorized OfficialAlicia CantuSystem Director, Cbs · (254) 215-9719
Enumeration DateApril 12, 2006
Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1093779704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPodiatristTaxonomy 213E00000X
2401 S 31ST ST, Temple, TX 76508

Other Names 1

Doing Business AsBaylor Scott & White Clinic - Temple

Other Identifiers 7

OtherCH2231TX · Rr/medicare
Other1266694-02TX · Cshcn
Other00C307TX · Blue Shield
Other00C307TX · Medicare Group Number
Other1266694-04TX · Epsdt
Medicaid1266728-04TX
Other178332800TX · W/c Dept Of Labor

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baylor Scott & White Clinic - Temple is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20031223000640Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2,768

Medicare enrollment records show 2,768 clinicians reassign Medicare billing to Baylor Scott & White Clinic - Temple, which bills Medicare for the services they deliver. Of these, 248 practice at this address and 1,096 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 74

Nurse Practitioner428
Internal Medicine282
Family Practice257
Certified Registered Nurse Anesthetist (CRNA)221
Pediatric Medicine140
Anesthesiology134
Obstetrics/Gynecology95
Diagnostic Radiology79
66 other specialties1,132

Nearest to this location (20)

See all 2,768
Internal Medicine
NPI 1063090967
2401 S 31ST ST
Temple, TX 76508
(254) 724-2364
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649162538
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1376886853
2401 S 31ST ST # 9C513C
Temple, TX 76508
(254) 724-7633
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972916112
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1750058905
2401 S 31ST ST
Temple, TX 76508
(254) 724-2585
✔ PECOSSame address
Urology
NPI 1407370679
2401 S 31ST ST
Temple, TX 76508
(254) 215-2111
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology Assistant
NPI 1497167076
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ Accepts MedicareSame address
General Surgery
NPI 1356873145
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1477059483
2401 S 31ST ST
Temple, TX 76508
(800) 994-0371
✔ PECOSSame address
Cardiac Electrophysiology
NPI 1205217361
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1700868650
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1487230231
2401 SOUTH 31ST STREET MS-01-W256
Temple, TX 76508
(254) 724-4507
✔ PECOSSame address
Pathology
NPI 1871172890
2401 S 31ST ST # MS -01266
Temple, TX 76508
(254) 724-7354
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1992935951
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1417917600
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ PECOSSame address
Neurology
NPI 1245659325
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1902433816
2401 S 31ST ST # MS -01712
Temple, TX 76508
(254) 724-7315
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1811481898
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ PECOSSame address
Thoracic Surgery
NPI 1164698221
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1770546921
2401 S 31ST ST
Temple, TX 76508
(254) 724-2111
✔ PECOS✔ Accepts MedicareSame address
See all 2,768 clinicians

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 2

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 45D2331683

Baylor Scott & White - Temple Occupational Medicine · Temple, TX
Active · expires Oct 6, 2027
CLIA Number45D2331683
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorKhaled Altassan
Laboratory Phone(254) 724-0118
Laboratory LocationBaylor Scott & White - Temple Occupational Medicine2401 S 31st Street, Room Ag100, Temple, TX 76508
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 45D0488073

Baylor Scott & White Medical Center - Temple · Temple, TX
Active · expires Feb 8, 2027
CLIA Number45D0488073
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Michelle E. Rodriguez
Laboratory Phone(254) 724-4409
Laboratory LocationBaylor Scott & White Medical Center - Temple2401 S 31st St, Temple, TX 76508
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Scott & White Clinic's NPI number?

The NPI number for Scott & White Clinic is 1093779704. It was assigned to this organization in the NPPES registry on April 12, 2006. The provider is doing business as Baylor Scott & White Clinic - Temple.

Where is Scott & White Clinic located?

Scott & White Clinic is located at 2401 S 31st St, Temple, TX 76508. The listed phone number is (254) 724-2111.

What is Scott & White Clinic's specialty?

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

Is Scott & White Clinic enrolled in Medicare?

Yes. Scott & White Clinic is registered in the Medicare PECOS enrollment system.

When is Scott & White Clinic'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 March 31, 2027. 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 Scott & White Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,768 clinicians in 74 Medicare specialties reassign their Medicare billing to Scott & White Clinic. 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. The largest specialties are Nurse Practitioner (428), Internal Medicine (282) and Family Practice (257). Of these, 248 practice at this address and 1,096 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Scott & White Clinic hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Scott & White Clinic accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Scott & White Clinic 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 Scott & White Clinic was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.