WHEATLAND INTERNAL MEDICINE CLINIC
NPI 1255197653
Internal Medicine in Desoto, TX
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
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wheatland Internal Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Wheatland Internal Medicine Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. 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 45D2299664
Wheatland Internal Medicine Clinic · Desoto, 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 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.
Is The Dallas Clinic 23 PLLC enrolled in Medicare?
Yes. The Dallas Clinic 23 PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Dallas Clinic 23 PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to The Dallas Clinic 23 PLLC, in Internal Medicine 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 WellPoint 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.
# Wheatland Internal Medicine Clinic · NPI 1255197653
Internal Medicine organization in Desoto, Texas. Organization record, active in the CMS NPPES registry since February 23, 2024.
## Identity
- **NPI:** 1255197653 (Entity type: Organization)
- **Enumerated:** February 23, 2024
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** The Dallas Clinic 23 Pllc
- **Organization subpart:** No
- **Authorized official:** Shehetaj Abdurrahim, MANAGING PHYSICIAN
## Practice location
- **Address:** 2701 PRINCE GEORGE AVE STE 100, Desoto, TX 75115-2087
- **Phone:** (972) 634-8110 · **Fax:** (972) 634-8220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255197653) · Data from the CMS NPPES public registry.