HILLCREST INTERNAL MEDICINE PLLC
NPI 1285213017
Internal Medicine in Dallas, TX

Active since April 07, 2021CLIA 45D2239600 · Waiver
12720 HILLCREST RD STE 625, DALLAS, TX 75230(469) 830-9600(469) 830-9601 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2021, Apr 7, 2021 (2 updates tracked since 2021).

About Hillcrest Internal Medicine Pllc NPPES

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

HILLCREST INTERNAL MEDICINE PLLC (NPI 1285213017) is a healthcare organization registered as an internal medicine in Dallas, Texas and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Renee Stock, Partner/owner, as its authorized official.

NPPES Registry Identity

NPI1285213017
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHILLCREST INTERNAL MEDICINE PLLC
Location Address12720 HILLCREST RD STE 625Dallas, TX 75230-2163
Mailing Address9330 Lbj Fwy Ste 800Dallas, TX 75243-4310 · (972) 792-5700 · Fax (214) 506-1170
Fax(469) 830-9601
Organization SubpartNo
Authorized OfficialRenee StockPartner/owner · (972) 792-5700
Enumeration DateApril 7, 2021
Last NPPES UpdateSeptember 14, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2021
✔ NPI 1285213017 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.
12720 HILLCREST RD STE 625, Dallas, TX 75230

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hillcrest Internal Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20211124000426Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Hillcrest Internal Medicine PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1295729911
12720 HILLCREST RD STE 625
Dallas, TX 75230
(469) 830-9600
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1194820621
12720 HILLCREST RD STE 625
Dallas, TX 75230
(469) 830-9600
✔ 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 45D2239600

Hillcrest Internal Medicine, PLLC · Dallas, TX
Active · expires Oct 12, 2027
CLIA Number45D2239600
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorShalaun J. Hawkins
Laboratory Phone(469) 830-9600
Laboratory LocationHillcrest Internal Medicine, PLLC12720 Hillcrest Rd Suite 625, Dallas, TX 75230
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 Hillcrest Internal Medicine PLLC's NPI number?

The NPI number for Hillcrest Internal Medicine PLLC is 1285213017. It was assigned to this organization in the NPPES registry on April 7, 2021.

Where is Hillcrest Internal Medicine PLLC located?

Hillcrest Internal Medicine PLLC is located at 12720 Hillcrest Rd Ste 625, Dallas, TX 75230. The listed phone number is (469) 830-9600.

What is Hillcrest Internal Medicine PLLC's specialty?

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

Is Hillcrest Internal Medicine PLLC enrolled in Medicare?

Yes. Hillcrest Internal Medicine PLLC is registered in the Medicare PECOS enrollment system.

When is Hillcrest Internal Medicine PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hillcrest Internal Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Hillcrest Internal Medicine 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hillcrest Internal Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2239600) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hillcrest Internal Medicine PLLC was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.