PROMENADE FAMILY MEDICINE
NPI 1245416619
Family Medicine in Richardson, TX
About Promenade Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROMENADE FAMILY MEDICINE (NPI 1245416619) is a healthcare organization registered as a family medicine in Richardson, Texas and active in the NPI registry since January 2008. The organization holds a CLIA Microscopy certificate valid through March 6, 2028 and lists Adam S Miner, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Promenade Family Medicine 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 Promenade Family Medicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 for Provider-Performed Microscopy Procedures (PPMP) 45D0477708
Adam S Miner, MD Dba Promenade Family Medicine · Richardson, 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 Adam S. Miner, MD, PA's NPI number?
The NPI number for Adam S. Miner, MD, PA is 1245416619. It was assigned to this organization in the NPPES registry on January 16, 2008. The provider is doing business as Promenade Family Medicine.
Where is Adam S. Miner, MD, PA located?
Adam S. Miner, MD, PA is located at 1120 W Campbell Rd Suite 111, Richardson, TX 75080. The listed phone number is (972) 234-6868.
What is Adam S. Miner, MD, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Adam S. Miner, MD, PA enrolled in Medicare?
Yes. Adam S. Miner, MD, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Adam S. Miner, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Adam S. Miner, MD, PA. 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 Adam S. Miner, MD, PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0477708) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Adam S. Miner, MD, PA was last updated on May 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Promenade Family Medicine · NPI 1245416619
Family Medicine organization in Richardson, Texas. Organization record, active in the CMS NPPES registry since January 16, 2008.
## Identity
- **NPI:** 1245416619 (Entity type: Organization)
- **Enumerated:** January 16, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Adam S. Miner, Md, Pa
- **Organization subpart:** No
- **Authorized official:** Adam Miner, PHYSICIAN/OWNER
## Practice location
- **Address:** 1120 W CAMPBELL RD, SUITE 111, Richardson, TX 75080-2976
- **Phone:** (972) 234-6868 · **Fax:** (972) 238-1235
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2009
- **Other identifiers:** Medicare UPIN 81780K (TX); Medicaid 080185401 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245416619) · Data from the CMS NPPES public registry.