MERCY FAMILY CLINIC
NPI 1154560027
Family Medicine in Dallas, TX
About Mercy Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCY FAMILY CLINIC (NPI 1154560027), doing business as Ebere Israel Azubuike Md Pa, is a healthcare organization registered as a family medicine in Dallas, Texas and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Ebere Israel Azubuike, President/ Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
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)
Mercy Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mercy Family Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Waiver 45D2015669
Mercy Family Clinic Ebere Israel Azubuike MD PA · Dallas, TXFrequently 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 Mercy Family Clinic's NPI number?
The NPI number for Mercy Family Clinic is 1154560027. It was assigned to this organization in the NPPES registry on February 17, 2009. The provider was formerly known as Ebere Israel Azubuike MD PA.
Where is Mercy Family Clinic located?
Mercy Family Clinic is located at 2409 Alco Ave, Dallas, TX 75211. The listed phone number is (214) 942-2377.
What is Mercy Family Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mercy Family Clinic enrolled in Medicare?
Yes. Mercy Family Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mercy Family Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mercy Family Clinic, in Family Practice 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mercy Family Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2015669) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mercy Family Clinic accept?
Health plans from Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Mercy Family 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 Mercy Family Clinic was last updated on January 10, 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.
# Mercy Family Clinic · NPI 1154560027
Family Medicine organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since February 17, 2009.
## Identity
- **NPI:** 1154560027 (Entity type: Organization)
- **Enumerated:** February 17, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ebere Azubuike, PRESIDENT/ CEO
## Practice location
- **Address:** 2409 ALCO AVE, Dallas, TX 75211-2614
- **Phone:** (214) 942-2377 · **Fax:** (214) 942-2977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2023
- **Other identifiers:** Other 0069SD (TX); Other M9136 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154560027) · Data from the CMS NPPES public registry.