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WHEATLAND INTERNAL MEDICINE CLINIC
NPI 1255197653
Internal Medicine in Desoto, TX

Active since February 23, 2024CLIA 45D2299664 · Waiver
2701 PRINCE GEORGE AVE STE 100, DESOTO, TX 75115(972) 634-8110(972) 634-8220 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wheatland Internal Medicine Clinic NPPES

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

WHEATLAND INTERNAL MEDICINE CLINIC (NPI 1255197653) is a healthcare organization registered as an internal medicine in Desoto, Texas and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Shehetaj Abdurrahim, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1255197653
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTHE DALLAS CLINIC 23 PLLC
Location Address2701 PRINCE GEORGE AVE STE 100Desoto, TX 75115-2087
Mailing Address2701 Prince George Ave Ste 100Desoto, TX 75115-2087 · (972) 555-5555
Phone(972) 634-8110
Fax(972) 634-8220
Organization SubpartNo
Authorized OfficialShehetaj AbdurrahimManaging Physician · (972) 634-8110
Enumeration DateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
✔ NPI 1255197653 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.
2701 PRINCE GEORGE AVE STE 100, Desoto, TX 75115
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Other Names 1

Doing Business AsWheatland Internal Medicine Clinic

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D2299664

Wheatland Internal Medicine Clinic · Desoto, TX
Active · expires Feb 22, 2028
CLIA Number45D2299664
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorShehetaj Abdurrahim
Laboratory Phone(972) 634-8110
Laboratory LocationWheatland Internal Medicine Clinic2701 Prince George Ave Ste 100, Desoto, TX 75115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL SHIBU PA-C
Physician Assistant
2701 PRINCE GEORGE AVE STE 100
DESOTO, TX 75115
Dallas County (972) 634-8110
NOEMI RODRIGUEZ FNP-C
Nurse Practitioner (Family)
2701 PRINCE GEORGE AVE STE 100
DESOTO, TX 75115
Dallas County (972) 634-8110
SHEHETAJ G ABDURRAHIM MD
Internal Medicine
2701 PRINCE GEORGE AVE STE 100
DESOTO, TX 75115
Dallas County (972) 634-8110
DONALD G NICHOLAS JR MD
General Practice
2701 PRINCE GEORGE AVE STE 100
DESOTO, TX 75115
Dallas County (972) 224-9090

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 The Dallas Clinic 23 PLLC's NPI number?

The NPI number for The Dallas Clinic 23 PLLC is 1255197653. It was assigned to this organization in the NPPES registry on February 23, 2024. The provider is doing business as Wheatland Internal Medicine Clinic.

Where is The Dallas Clinic 23 PLLC located?

The Dallas Clinic 23 PLLC is located at 2701 Prince George Ave Ste 100, Desoto, TX 75115. The listed phone number is (972) 634-8110.

What is The Dallas Clinic 23 PLLC's specialty?

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

Does The Dallas Clinic 23 PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2299664) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Dallas Clinic 23 PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list The Dallas Clinic 23 PLLC 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 The Dallas Clinic 23 PLLC was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.