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CONCHO VALLEY MEDICINE, LLC
NPI 1225737539
Internal Medicine in San Angelo, TX

Active since February 24, 2023
225 S ABE ST, SAN ANGELO, TX 76903(407) 414-6102 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Concho Valley Medicine, Llc NPPES

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

CONCHO VALLEY MEDICINE, LLC (NPI 1225737539) is a healthcare organization registered as an internal medicine in San Angelo, Texas and active in the NPI registry since February 2023. The organization lists Bryan A Mejia, Provider, as its authorized official.

NPPES Registry Identity

NPI1225737539
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONCHO VALLEY MEDICINE, LLC
Location Address225 S ABE STSan Angelo, TX 76903-6305
Mailing Address223 S Abe StSan Angelo, TX 76903-6305 · (325) 374-0821
Phone(407) 414-6102
Organization SubpartNo
Authorized OfficialBryan A MejiaProvider · (407) 414-6102
Enumeration DateFebruary 24, 2023
NPPES CertifiedFebruary 24, 2023
✔ NPI 1225737539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
225 S ABE ST, San Angelo, TX 76903
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Other Identifiers 1

OtherP9224TX · Texas Medical Board

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Concho Valley Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Concho Valley Medicine, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bryan Mejia, MD
Internal Medicine
NPI 1114107828
220 E. HARRIS
San Angelo, TX 76903
(325) 481-2285
✔ PECOS✔ Accepts Medicare0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Concho Valley Medicine, LLC's NPI number?

The NPI number for Concho Valley Medicine, LLC is 1225737539. It was assigned to this organization in the NPPES registry on February 24, 2023.

Where is Concho Valley Medicine, LLC located?

Concho Valley Medicine, LLC is located at 225 S Abe St, San Angelo, TX 76903. The listed phone number is (407) 414-6102.

What is Concho Valley Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Concho Valley Medicine, LLC enrolled in Medicare?

Yes. Concho Valley Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Concho Valley Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Concho Valley Medicine, 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.

When was this NPI record last updated?

The NPPES record for Concho Valley Medicine, LLC was last updated on February 24, 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.