SUDAN MEDICAL CLINIC - MULESHOE LOCATION
NPI 1225644537
Clinic/Center - Rural Health in Muleshoe, TX
About Sudan Medical Clinic - Muleshoe Location NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUDAN MEDICAL CLINIC - MULESHOE LOCATION (NPI 1225644537) is a healthcare organization registered as a rural health in Muleshoe, Texas and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Lisa M Allen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Sudan Medical Clinic - Muleshoe Location 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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Sudan Medical Clinic - Muleshoe Location, which bills Medicare for the services they deliver. 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 45D2122585
Sudan Medical Clinic LLC · Muleshoe, 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 Sudan Medical Clinic, LLC's NPI number?
The NPI number for Sudan Medical Clinic, LLC is 1225644537. It was assigned to this organization in the NPPES registry on September 22, 2020. The provider is doing business as Sudan Medical Clinic - Muleshoe Location.
Where is Sudan Medical Clinic, LLC located?
Sudan Medical Clinic, LLC is located at 208 W 2nd St, Muleshoe, TX 79347. The listed phone number is (806) 272-7736.
What is Sudan Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Sudan Medical Clinic, LLC enrolled in Medicare?
Yes. Sudan Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
When is Sudan Medical 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 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 Sudan Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Sudan Medical Clinic, LLC, in Family Practice 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sudan Medical Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2122585) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sudan Medical Clinic, LLC was last updated on March 6, 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.
# Sudan Medical Clinic - Muleshoe Location · NPI 1225644537
Rural Health organization in Muleshoe, Texas. Organization record, active in the CMS NPPES registry since September 22, 2020.
## Identity
- **NPI:** 1225644537 (Entity type: Organization)
- **Enumerated:** September 22, 2020
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Sudan Medical Clinic, Llc
- **Organization subpart:** No
- **Authorized official:** Lisa Allen, OWNER
## Practice location
- **Address:** 208 W 2ND ST, Muleshoe, TX 79347-3631
- **Phone:** (806) 272-7736 · **Fax:** (806) 272-7737
## 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:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225644537) · Data from the CMS NPPES public registry.