ACEVEDO PEDIATRIC CLINIC
NPI 1265170948
Family Medicine in Mission, TX

Q: What is Ag Medical PLLC's NPI number?

The NPI number for Ag Medical PLLC is 1265170948. It was assigned to this organization in the NPPES registry on May 23, 2022. The provider is doing business as Acevedo Pediatric Clinic.

Q: What is Ag Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ag Medical PLLC was last updated on April 18, 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.

Active since May 23, 2022CLIA 45D2265100 · Accreditation

2412 N CONWAY AVE, MISSION, TX 78574(956) 833-5437(956) 833-5444 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 18, 2024, Nov 2, 2022, May 23, 2022 (3 updates tracked since 2022).

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About Acevedo Pediatric Clinic NPPES

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

ACEVEDO PEDIATRIC CLINIC (NPI 1265170948) is a healthcare organization registered as a family medicine in Mission, Texas and active in the NPI registry since May 2022. The organization holds an CLIA Accreditation certificate valid through June 5, 2027, maintains a secondary practice location in Edinburg, and lists Roberto Acevedo, President, as its authorized official.

NPPES Registry Identity

NPI1265170948

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameAG MEDICAL PLLC

Location Address2412 N CONWAY AVEMission, TX 78574-2347

Mailing Address2412 N Conway AveMission, TX 78574-2347 · (956) 833-5437 · Fax (956) 833-5444

Phone(956) 833-5437

Fax(956) 833-5444

Organization SubpartNo

Authorized OfficialRoberto AcevedoPresident · (956) 529-2202

Enumeration DateMay 23, 2022

Last NPPES UpdateApril 18, 20243 updates tracked since enumeration

NPPES CertifiedApril 18, 2024

✔ NPI 1265170948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

2412 N CONWAY AVE, Mission, TX 78574

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Other Names 1

Doing Business AsAcevedo Pediatric Clinic

Secondary Practice Location 1

Location 14836 S Jackson RdEdinburg, TX 78539-6539 · Phone (956) 833-5437

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Blue Cross and Blue Shield of Texas.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)

Acevedo Pediatric Clinic 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 Acevedo Pediatric Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Acevedo, NP

Nurse Practitioner

NPI 1669873717

2412 N CONWAY AVE
Mission, TX 78574

(956) 833-5437

✔ 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 Accreditation 45D2265100

Acevedo Pediatric Clinic · Mission, TX

Active · expires Jun 5, 2027

CLIA Number45D2265100

Laboratory TypePhysician Office

Certificate Effective DateJune 6, 2025

Certificate Expiration DateJune 5, 2027

Laboratory DirectorDr. Melendez Ivan

Laboratory Phone(956) 833-5437

Laboratory LocationAcevedo Pediatric Clinic2412 N Conway Ave, Mission, TX 78574

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Ag Medical PLLC's NPI number?

The NPI number for Ag Medical PLLC is 1265170948. It was assigned to this organization in the NPPES registry on May 23, 2022. The provider is doing business as Acevedo Pediatric Clinic.

Where is Ag Medical PLLC located?

Ag Medical PLLC is located at 2412 N Conway Ave, Mission, TX 78574. The listed phone number is (956) 833-5437.

What is Ag Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ag Medical PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Ag Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ag Medical PLLC. 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 Ag Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2265100) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ag Medical PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Ag Medical 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 Ag Medical PLLC was last updated on April 18, 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.