CARITAS FAMILY MEDICINE PA
NPI 1215042189
Family Medicine in Live Oak, TX
About Caritas Family Medicine Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARITAS FAMILY MEDICINE PA (NPI 1215042189) is a healthcare organization registered as a family medicine in Live Oak, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Jeffrey Alexander Cannon, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 9
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Caritas Family Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Caritas Family Medicine PA, which bills Medicare for the services they deliver. Of these, 1 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 of Waiver 45D0501907
Caritas Family Medicine PA · 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 Caritas Family Medicine PA's NPI number?
The NPI number for Caritas Family Medicine PA is 1215042189. It was assigned to this organization in the NPPES registry on August 20, 2006.
Where is Caritas Family Medicine PA located?
Caritas Family Medicine PA is located at 11901 Toepperwein Rd Suite 1201, Live Oak, TX 78233. The listed phone number is (210) 650-9066.
What is Caritas Family Medicine PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Caritas Family Medicine PA enrolled in Medicare?
Yes. Caritas Family Medicine PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Caritas Family Medicine PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Caritas Family Medicine PA, in Emergency Medicine and Family Practice. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Caritas Family Medicine PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0501907) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Caritas Family Medicine PA accept?
Health plans from Harbor Health list Caritas Family Medicine PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Caritas Family Medicine PA was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Caritas Family Medicine Pa · NPI 1215042189
Family Medicine organization in Live Oak, Texas. Organization record, active in the CMS NPPES registry since August 20, 2006.
## Identity
- **NPI:** 1215042189 (Entity type: Organization)
- **Enumerated:** August 20, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Cannon, PRESIDENT
## Practice location
- **Address:** 11901 TOEPPERWEIN RD, SUITE 1201, Live Oak, TX 78233-3161
- **Phone:** (210) 650-9066 · **Fax:** (210) 650-9067
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Family Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2017
- **Other identifiers:** Medicare UPIN B26839 (TX); Medicare UPIN I15399 (TX); Medicare ID-Type Unspecified 8C2060 (TX); and 6 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215042189) · Data from the CMS NPPES public registry.