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VINTAGE FAMILY MEDICINE AND PEDIATRICS
NPI 1154945384
Family Medicine in Lewisville, TX

Active since June 03, 2020CLIA 45D2343567 · Waiver
860 HEBRON PKWY STE 201, LEWISVILLE, TX 75057(972) 296-7200(214) 730-4281 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2021, Jun 3, 2020 (2 updates tracked since 2020).

About Vintage Family Medicine And Pediatrics NPPES

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

VINTAGE FAMILY MEDICINE AND PEDIATRICS (NPI 1154945384) is a healthcare organization registered as a family medicine in Lewisville, Texas and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Margaret Martinez, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1154945384
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVINTAGE FAMILY MEDICINE AND PEDIATRICS
Location Address860 HEBRON PKWY STE 201Lewisville, TX 75057-5143
Mailing Address860 Hebron Pkwy Ste 201Lewisville, TX 75057-5143 · (972) 296-7200 · Fax (214) 730-4281
Phone(972) 296-7200
Fax(214) 730-4281
Organization SubpartNo
Authorized OfficialMargaret MartinezPractice Administrator · (469) 206-2630
Enumeration DateJune 3, 2020
Last NPPES UpdateApril 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1154945384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
860 HEBRON PKWY STE 201, Lewisville, TX 75057
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vintage Family Medicine And Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vintage Family Medicine And Pediatrics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dennis Ochei, M.D.
Family Practice
NPI 1083736326
2707 BOLTON BOONE DR STE 100
Desoto, TX 75115
(469) 206-2630
✔ PECOS26 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 Waiver 45D2343567

Vintage Family Medicine And Pediatrics · Lewisville, TX
Active · expires May 7, 2028
CLIA Number45D2343567
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorDennis O. Ochei
Laboratory Phone(972) 315-5144
Laboratory LocationVintage Family Medicine And Pediatrics860 Hebron Parkway Suite 203, Lewisville, TX 75057
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Vintage Family Medicine And Pediatrics's NPI number?

The NPI number for Vintage Family Medicine And Pediatrics is 1154945384. It was assigned to this organization in the NPPES registry on June 3, 2020.

Where is Vintage Family Medicine And Pediatrics located?

Vintage Family Medicine And Pediatrics is located at 860 Hebron Pkwy Ste 201, Lewisville, TX 75057. The listed phone number is (972) 296-7200.

What is Vintage Family Medicine And Pediatrics's specialty?

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

Is Vintage Family Medicine And Pediatrics enrolled in Medicare?

Yes. Vintage Family Medicine And Pediatrics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vintage Family Medicine And Pediatrics?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Vintage Family Medicine And Pediatrics. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vintage Family Medicine And Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2343567) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vintage Family Medicine And Pediatrics was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.