TRINITY FAMILY MEDICINE CLINIC LLC
NPI 1164658332
Family Medicine in San Antonio, TX
About Trinity Family Medicine Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRINITY FAMILY MEDICINE CLINIC LLC (NPI 1164658332) is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since June 2009. The organization holds a CLIA Microscopy certificate valid through May 22, 2027 and lists Juan Pena Velazquez, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Trinity Family Medicine Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Trinity Family Medicine Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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) 45D1098290
Trinity Family Medicine Clinic · San Antonio, 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 Trinity Family Medicine Clinic LLC's NPI number?
The NPI number for Trinity Family Medicine Clinic LLC is 1164658332. It was assigned to this organization in the NPPES registry on June 2, 2009.
Where is Trinity Family Medicine Clinic LLC located?
Trinity Family Medicine Clinic LLC is located at 6601 Blanco Rd Suite 100, San Antonio, TX 78216. The listed phone number is (210) 541-0018.
What is Trinity Family Medicine Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Trinity Family Medicine Clinic LLC enrolled in Medicare?
Yes. Trinity Family Medicine Clinic LLC is registered in the Medicare PECOS enrollment system.
When is Trinity Family Medicine Clinic LLC'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 October 31, 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 Trinity Family Medicine Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Trinity Family Medicine Clinic LLC. 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 Trinity Family Medicine Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1098290) is associated with this NPI, valid through May 22, 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 Trinity Family Medicine Clinic LLC was last updated on August 26, 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.
# Trinity Family Medicine Clinic Llc · NPI 1164658332
Family Medicine organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since June 2, 2009.
## Identity
- **NPI:** 1164658332 (Entity type: Organization)
- **Enumerated:** June 2, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Juan Velazquez, PROVIDER
## Practice location
- **Address:** 6601 BLANCO RD, SUITE 100, San Antonio, TX 78216-6102
- **Phone:** (210) 541-0018 · **Fax:** (210) 541-0024
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2015
- **Other identifiers:** Medicare PIN 0A4963; Medicaid 333635601 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164658332) · Data from the CMS NPPES public registry.