LITTLE ELM MEDICAL CLINIC PA
NPI 1194795310
Internal Medicine in Little Elm, TX
About Little Elm Medical Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LITTLE ELM MEDICAL CLINIC PA (NPI 1194795310) is a healthcare organization registered as an internal medicine in Little Elm, Texas and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists John Gerard Flores, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Little Elm Medical Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Little Elm Medical Clinic PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 45D0975137
Little Elm Medical Clinic, PA · Little Elm, 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 Little Elm Medical Clinic PA's NPI number?
The NPI number for Little Elm Medical Clinic PA is 1194795310. It was assigned to this organization in the NPPES registry on January 23, 2006.
Where is Little Elm Medical Clinic PA located?
Little Elm Medical Clinic PA is located at 730 E Eldorado Pkwy, Little Elm, TX 75068. The listed phone number is (972) 292-3330.
What is Little Elm Medical Clinic PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Little Elm Medical Clinic PA enrolled in Medicare?
Yes. Little Elm Medical Clinic PA is registered in the Medicare PECOS enrollment system.
When is Little Elm Medical Clinic 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 March 31, 2027. 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 Little Elm Medical Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Little Elm Medical Clinic PA, in Internal Medicine 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Little Elm Medical Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0975137) is associated with this NPI, valid through June 27, 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 Little Elm Medical Clinic PA was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Little Elm Medical Clinic Pa · NPI 1194795310
Internal Medicine organization in Little Elm, Texas. Organization record, active in the CMS NPPES registry since January 23, 2006.
## Identity
- **NPI:** 1194795310 (Entity type: Organization)
- **Enumerated:** January 23, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** John Flores, PRESIDENT/CEO
## Practice location
- **Address:** 730 E ELDORADO PKWY, Little Elm, TX 75068-5444
- **Phone:** (972) 292-3330 · **Fax:** (214) 619-4697
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194795310) · Data from the CMS NPPES public registry.