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ACADEMIC MEDICAL ASSOCIATES PLLC
NPI 1265091425
Internal Medicine in Irving, TX

Active since June 11, 2019CLIA 45D2170370 · Waiver
2021 N MACARTHUR BLVD STE 435, IRVING, TX 75061(972) 445-9515(972) 445-9414 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2020, Oct 8, 2019, Jun 11, 2019 (3 updates tracked since 2019).

About Academic Medical Associates Pllc NPPES

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

ACADEMIC MEDICAL ASSOCIATES PLLC (NPI 1265091425) is a healthcare organization registered as an internal medicine in Irving, Texas and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Amy Goliszek, Coo, as its authorized official.

NPPES Registry Identity

NPI1265091425
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameACADEMIC MEDICAL ASSOCIATES PLLC
Location Address2021 N MACARTHUR BLVD STE 435Irving, TX 75061-2219
Mailing Address9330 Lbj Fwy Ste 800Dallas, TX 75243-4310 · (972) 792-5700 · Fax (214) 506-1170
Phone(972) 445-9515
Fax(972) 445-9414
Organization SubpartNo
Authorized OfficialAmy GoliszekCoo · (214) 506-2617
Enumeration DateJune 11, 2019
Last NPPES UpdateAugust 1, 20253 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1265091425 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.
2021 N MACARTHUR BLVD STE 435, Irving, TX 75061
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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 Molina Healthcare.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)

Academic Medical Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Academic Medical Associates PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Laquisha Colby, NP
Nurse Practitioner
NPI 1588130926
2021 N MACARTHUR BLVD STE 435
Irving, TX 75061
(972) 445-9515
✔ PECOSSame address
Janani Krishnaswami, MD
Internal Medicine
NPI 1154643872
2021 N MACARTHUR BLVD STE 435
Irving, TX 75061
(972) 445-9515
✔ PECOS✔ Accepts MedicareSame address
Stephen Pratt, MD
Internal Medicine
NPI 1831186030
2021 N MACARTHUR BLVD STE 435
Irving, TX 75061
(972) 445-9515
✔ PECOS✔ Accepts MedicareSame address

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 45D2170370

Academic Medical Associates, PLLC · Irving, TX
Active · expires Aug 8, 2027
CLIA Number45D2170370
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorStephen Pratt
Laboratory Phone(972) 445-9515
Laboratory LocationAcademic Medical Associates, PLLC2021 N Macarthur Blvd Suite 435, Irving, TX 75061
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Academic Medical Associates PLLC's NPI number?

The NPI number for Academic Medical Associates PLLC is 1265091425. It was assigned to this organization in the NPPES registry on June 11, 2019.

Where is Academic Medical Associates PLLC located?

Academic Medical Associates PLLC is located at 2021 N Macarthur Blvd Ste 435, Irving, TX 75061. The listed phone number is (972) 445-9515.

What is Academic Medical Associates PLLC's specialty?

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

Is Academic Medical Associates PLLC enrolled in Medicare?

Yes. Academic Medical Associates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Academic Medical Associates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Academic Medical Associates 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Academic Medical Associates PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2170370) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Academic Medical Associates PLLC accept?

Health plans from Molina Healthcare list Academic Medical Associates 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 Academic Medical Associates PLLC was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.