ARBOR GREEN FAMILY MEDICINE CLINIC
NPI 1164646931
Family Medicine in Dallas, TX
About Arbor Green Family Medicine Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARBOR GREEN FAMILY MEDICINE CLINIC (NPI 1164646931) is a healthcare organization registered as a family medicine in Dallas, Texas and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through June 17, 2027 and lists Hania Alaidroos, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Arbor Green Family Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Arbor Green Family Medicine Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. 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 for Provider-Performed Microscopy Procedures (PPMP) 45D1062223
Arbor Green Family Practice Clinic · 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 Alliance Family Medicine PA's NPI number?
The NPI number for Alliance Family Medicine PA is 1164646931. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider is doing business as Arbor Green Family Medicine Clinic.
Where is Alliance Family Medicine PA located?
Alliance Family Medicine PA is located at 17610 Preston Rd, Dallas, TX 75252. The listed phone number is (972) 931-0100.
What is Alliance Family Medicine PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alliance Family Medicine PA enrolled in Medicare?
Yes. Alliance Family Medicine PA is registered in the Medicare PECOS enrollment system.
When is Alliance Family Medicine PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Alliance Family Medicine PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Alliance Family Medicine PA, in Family Practice and Internal Medicine. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Alliance Family Medicine PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1062223) is associated with this NPI, valid through June 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Alliance Family Medicine PA was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Arbor Green Family Medicine Clinic · NPI 1164646931
Family Medicine organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since April 12, 2007.
## Identity
- **NPI:** 1164646931 (Entity type: Organization)
- **Enumerated:** April 12, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Alliance Family Medicine Pa
- **Organization subpart:** No
- **Authorized official:** Hania Alaidroos, PRESIDENT
## Practice location
- **Address:** 17610 PRESTON RD, Dallas, TX 75252
- **Phone:** (972) 931-0100 · **Fax:** (972) 931-0400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164646931) · Data from the CMS NPPES public registry.