PORT LAVACA CLINIC ASSOCIATES PA
NPI 1144262957
Family Medicine in Port Lavaca, TX

Active since June 13, 2006CLIA 45D0498906 · Accreditation
1200 NORTH VIRGINIA, PORT LAVACA, TX 77979(361) 552-6721(361) 552-7463 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Port Lavaca Clinic Associates Pa NPPES

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

PORT LAVACA CLINIC ASSOCIATES PA (NPI 1144262957) is a healthcare organization registered as a family medicine in Port Lavaca, Texas and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Helen Loya, Administrative Assitant, as its authorized official.

NPPES Registry Identity

NPI1144262957
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePORT LAVACA CLINIC ASSOCIATES PA
Location Address1200 NORTH VIRGINIAPort Lavaca, TX 77979-2507
Mailing Address1200 North VirginiaPort Lavaca, TX 77979-2507 · (361) 552-6721 · Fax (361) 552-7463
Fax(361) 552-7463
Organization SubpartNo
Authorized OfficialHelen LoyaAdministrative Assitant · (361) 553-6560
Enumeration DateJune 13, 2006
Last NPPES UpdateFebruary 27, 2015
✔ NPI 1144262957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
1200 NORTH VIRGINIA, Port Lavaca, TX 77979

Other Identifiers 2

Medicaid133513504TX
Medicare OSCAR/certification453957TX

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)

Port Lavaca Clinic Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Port Lavaca Clinic Associates PA, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner4
Family Practice2
Internal Medicine2
Pediatric Medicine2

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1790430254
1200 N VIRGINIA ST
Port Lavaca, TX 77979
(361) 552-6721
✔ PECOSSame address
Nurse Practitioner
NPI 1780071506
1200 N VIRGINIA ST
Port Lavaca, TX 77979
(361) 552-6721
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1740609601
1200 N VIRGINIA ST
Port Lavaca, TX 77979
(361) 522-6721
✔ PECOSSame address
Internal Medicine
NPI 1871738286
1200 N VIRGINIA ST
Port Lavaca, TX 77979
(361) 552-6721
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1700812724
1200 NORTH VIRGINIA
Port Lavaca, TX 77979
(361) 552-6721
✔ PECOSSame address
Nurse Practitioner
NPI 1487153573
1200 N VIRGINIA ST
Port Lavaca, TX 77979
(361) 552-6721
✔ PECOSSame address
Family Practice
NPI 1164465415
1200 N VIRGINIA ST
Port Lavaca, TX 77979
(361) 552-6721
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1215086228
1200 NORTH VIRGINIA
Port Lavaca, TX 77979
(361) 552-6721
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1629005418
1016 N VIRGINIA ST
Port Lavaca, TX 77979
(361) 552-0325
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1124502596
2115 STEPHENS PL STE 900
New Braunfels, TX 78130
(830) 214-6708
✔ PECOS115 mi

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 Accreditation 45D0498906

Port Lavaca Clinic Assocs PA · Port Lavaca, TX
Active · expires Dec 22, 2027
CLIA Number45D0498906
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorJohn Wright
Laboratory Phone(361) 552-6721
Laboratory LocationPort Lavaca Clinic Assocs PA1200 N Virginia, Port Lavaca, TX 77979
CLIA data matches this NPI record on: Address Phone
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 Port Lavaca Clinic Associates PA's NPI number?

The NPI number for Port Lavaca Clinic Associates PA is 1144262957. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Port Lavaca Clinic Associates PA located?

Port Lavaca Clinic Associates PA is located at 1200 North Virginia, Port Lavaca, TX 77979. The listed phone number is (361) 552-6721.

What is Port Lavaca Clinic Associates PA's specialty?

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

Is Port Lavaca Clinic Associates PA enrolled in Medicare?

Yes. Port Lavaca Clinic Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Port Lavaca Clinic Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Port Lavaca Clinic Associates PA. 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 (4), Family Practice (2) and Internal Medicine (2). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Port Lavaca Clinic Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D0498906) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Port Lavaca Clinic Associates PA accept?

Health plans from Blue Cross and Blue Shield of Texas list Port Lavaca Clinic Associates 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 Port Lavaca Clinic Associates PA was last updated on February 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.