ADVANCED COMPREHENSIVE MEDICAL CENTER PA
NPI 1114052362
General Practice in Plano, TX

Active since February 21, 2007
4674 MCDERMOTT RD STE 308, PLANO, TX 75024(972) 424-4243(972) 424-6211 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2026, Feb 4, 2026, Nov 17, 2025 and 1 more (4 updates tracked since 2025).

About Advanced Comprehensive Medical Center Pa NPPES

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

ADVANCED COMPREHENSIVE MEDICAL CENTER PA (NPI 1114052362), doing business as Advanced Comprehensive Medical Center, is a healthcare organization registered as a general practice in Plano, Texas and active in the NPI registry since February 2007. The organization lists James Kontaratos, President, as its authorized official.

NPPES Registry Identity

NPI1114052362
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameADVANCED COMPREHENSIVE MEDICAL CENTER PA
Location Address4674 MCDERMOTT RD STE 308Plano, TX 75024-7797
Mailing Address4674 Mcdermott Rd Ste 308Plano, TX 75024-7797 · (972) 424-4243 · Fax (972) 424-6211
Fax(972) 424-6211
Organization SubpartNo
Authorized OfficialJames KontaratosPresident · (972) 424-4243
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 30, 20264 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1114052362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4674 MCDERMOTT RD STE 308, Plano, TX 75024

Other Names 2

Doing Business AsAdvanced Comprehensive Medical Center
Doing Business AsWellness Dallas Medical

Other Identifiers 2

Other0003KYTX · Blue Cross Blue Shield
Other0003KYTX · Bcbs Of Tx

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)

Advanced Comprehensive Medical Center Pa 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 Advanced Comprehensive Medical Center PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1336202126
4674 MCDERMOTT RD STE 308
Plano, TX 75024
(972) 424-4243
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962111310
1414 ELKMONT DR
Wylie, TX 75098
(972) 768-6509
✔ PECOS✔ Accepts Medicare14 mi

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 Advanced Comprehensive Medical Center PA's NPI number?

The NPI number for Advanced Comprehensive Medical Center PA is 1114052362. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Advanced Comprehensive Medical Center and Wellness Dallas Medical.

Where is Advanced Comprehensive Medical Center PA located?

Advanced Comprehensive Medical Center PA is located at 4674 Mcdermott Rd Ste 308, Plano, TX 75024. The listed phone number is (972) 424-4243.

What is Advanced Comprehensive Medical Center PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Advanced Comprehensive Medical Center PA enrolled in Medicare?

Yes. Advanced Comprehensive Medical Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Comprehensive Medical Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Comprehensive Medical Center PA, in Chiropractic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Comprehensive Medical Center PA accept?

Health plans from Molina Healthcare list Advanced Comprehensive Medical Center PA 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 Advanced Comprehensive Medical Center PA was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.