DANDAN PRIMARY CARE, LLC
NPI 1235804964
Family Medicine in San Antonio, TX
About Dandan Primary Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANDAN PRIMARY CARE, LLC (NPI 1235804964), doing business as Harlandale Clinic, is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through August 8, 2028 and lists Melhem Dandan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
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)
Dandan Primary Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Dandan Primary Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. 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 45D2266332
Dandan Primary Care Dba Harlandale Clinic · 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 Dandan Primary Care, LLC's NPI number?
The NPI number for Dandan Primary Care, LLC is 1235804964. It was assigned to this organization in the NPPES registry on August 13, 2021. The provider is doing business as Harlandale Clinic.
Where is Dandan Primary Care, LLC located?
Dandan Primary Care, LLC is located at 354 E Southcross Blvd Ste 100, San Antonio, TX 78214. The listed phone number is (661) 912-7458.
What is Dandan Primary Care, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dandan Primary Care, LLC enrolled in Medicare?
Yes. Dandan Primary Care, LLC is registered in the Medicare PECOS enrollment system.
When is Dandan Primary Care, 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 February 28, 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 Dandan Primary Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dandan Primary Care, LLC, in Nurse Practitioner and Obstetrics/Gynecology. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dandan Primary Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2266332) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dandan Primary Care, LLC accept?
Health plans from WellPoint list Dandan Primary Care, LLC 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 Dandan Primary Care, LLC was last updated on July 15, 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.
# Dandan Primary Care, Llc · NPI 1235804964
Family Medicine organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since August 13, 2021.
## Identity
- **NPI:** 1235804964 (Entity type: Organization)
- **Enumerated:** August 13, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Harlandale Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Melhem Dandan, OWNER
## Practice location
- **Address:** 354 E SOUTHCROSS BLVD STE 100, San Antonio, TX 78214-3595
- **Phone:** (661) 912-7458
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Obstetrics/Gynecology (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2022
- **Other identifiers:** Other 1053393520 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235804964) · Data from the CMS NPPES public registry.