ELITE HEALTH CENTER
NPI 1194962191
Clinic/Center - Primary Care in Fort Worth, TX

Active since January 13, 2009CLIA 45D1102148 · Waiver
3418 N TARRANT PKWY STE 310, FORT WORTH, TX 76177(817) 562-2339(817) 562-1342 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 11, 2023, Feb 9, 2022, Nov 26, 2018 and 1 more (4 updates tracked since 2015).

About Elite Health Center NPPES

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

ELITE HEALTH CENTER (NPI 1194962191) is a healthcare organization registered as a primary care in Fort Worth, Texas and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Michael L Bailey, President, as its authorized official.

NPPES Registry Identity

NPI1194962191
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMICHAEL L. BAILEY, D.O., P.A.
Location Address3418 N TARRANT PKWY STE 310Fort Worth, TX 76177-8645
Mailing Address3418 N Tarrant Pkwy Ste 310Fort Worth, TX 76177-8645 · (817) 562-2339 · Fax (817) 562-1342
Fax(817) 562-1342
Organization SubpartNo
Authorized OfficialMichael L BaileyPresident · (817) 562-2339
Enumeration DateJanuary 13, 2009
Last NPPES UpdateJanuary 11, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1194962191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · K5446
Also ListedFamily MedicineTaxonomy 207Q00000X
3418 N TARRANT PKWY STE 310, Fort Worth, TX 76177

Other Names 1

Doing Business AsElite Health Center

Other Identifiers 3

Medicaid201660202TX
Medicaid130929605TX
Medicaid201660201TX

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20090415000144Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elite Health Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1215931639
3418 N TARRANT PKWY STE 310
Fort Worth, TX 76177
(817) 562-2339
✔ PECOS✔ Accepts MedicareSame address

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 45D1102148

Michael L Bailey, Do, PA · Fort Worth, TX
Active · expires Feb 10, 2027
CLIA Number45D1102148
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorMichael L. Bailey
Laboratory Phone(817) 562-2339
Laboratory LocationMichael L Bailey, Do, PA3418 N Tarrant Pkwy Suite 310, Fort Worth, TX 76177
CLIA data matches this NPI record on: Address Phone
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 Michael L. Bailey, D.O., P.A.'s NPI number?

The NPI number for Michael L. Bailey, D.O., P.A. is 1194962191. It was assigned to this organization in the NPPES registry on January 13, 2009. The provider is doing business as Elite Health Center.

Where is Michael L. Bailey, D.O., P.A. located?

Michael L. Bailey, D.O., P.A. is located at 3418 N Tarrant Pkwy Ste 310, Fort Worth, TX 76177. The listed phone number is (817) 562-2339.

What is Michael L. Bailey, D.O., P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Michael L. Bailey, D.O., P.A. enrolled in Medicare?

Yes. Michael L. Bailey, D.O., P.A. is registered in the Medicare PECOS enrollment system.

When is Michael L. Bailey, D.O., P.A.'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 January 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 Michael L. Bailey, D.O., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Michael L. Bailey, D.O., P.A.. 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 Michael L. Bailey, D.O., P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1102148) is associated with this NPI, valid through February 10, 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 Michael L. Bailey, D.O., P.A. was last updated on January 11, 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.