EXPRESS CARE MEDICAL GROUP, A PROFESSIONAL CORPORATION
NPI 1124886882
Internal Medicine in Clovis, CA
About Express Care Medical Group, A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXPRESS CARE MEDICAL GROUP, A PROFESSIONAL CORPORATION (NPI 1124886882) is a healthcare organization registered as an internal medicine in Clovis, California and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Fresno and lists Dennis Malate Redubla, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Express Care Medical Group, A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Express Care Medical Group, A Professional Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 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.
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 Express Care Medical Group, A Professional Corporation's NPI number?
The NPI number for Express Care Medical Group, A Professional Corporation is 1124886882. It was assigned to this organization in the NPPES registry on March 7, 2024.
Where is Express Care Medical Group, A Professional Corporation located?
Express Care Medical Group, A Professional Corporation is located at 2131 Herndon Ave Ste 103, Clovis, CA 93611. The listed phone number is (559) 578-8844.
What is Express Care Medical Group, A Professional Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Express Care Medical Group, A Professional Corporation enrolled in Medicare?
Yes. Express Care Medical Group, A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Express Care Medical Group, A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Express Care Medical Group, A Professional Corporation. 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 (3) and Internal Medicine (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Express Care Medical Group, A Professional Corporation was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.
# Express Care Medical Group, A Professional Corporation · NPI 1124886882
Internal Medicine organization in Clovis, California. Organization record, active in the CMS NPPES registry since March 7, 2024.
## Identity
- **NPI:** 1124886882 (Entity type: Organization)
- **Enumerated:** March 7, 2024
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Dennis Redubla, OWNER
## Practice location
- **Address:** 2131 HERNDON AVE STE 103, Clovis, CA 93611-6304
- **Phone:** (559) 578-8844 · **Fax:** (559) 578-8899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1124886882) · Data from the CMS NPPES public registry.