COLLEGE PARK MEDICINE,PA
NPI 1295815959
Family Medicine in Conroe, TX
About College Park Medicine,pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLEGE PARK MEDICINE,PA (NPI 1295815959) is a healthcare organization registered as a family medicine in Conroe, Texas and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Spring, and lists Christopher Chapman, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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)
College Park Medicine,pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to College Park Medicine,pa, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
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 2
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 45D2028799
College Park Medicine, PA Dba Louetta Family Medicine · Spring, TXCertificate of Waiver 45D1038316
College Park Medicine PA · The Woodlands, 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 College Park Medicine,pa's NPI number?
The NPI number for College Park Medicine,pa is 1295815959. It was assigned to this organization in the NPPES registry on October 17, 2006.
Where is College Park Medicine,pa located?
College Park Medicine,pa is located at 690 S Loop 336 W Ste 140, Conroe, TX 77304. The listed phone number is (936) 523-7041.
What is College Park Medicine,pa's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is College Park Medicine,pa enrolled in Medicare?
Yes. College Park Medicine,pa is registered in the Medicare PECOS enrollment system.
When is College Park Medicine,pa'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 November 30, 2026. 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 College Park Medicine,pa?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to College Park Medicine,pa. 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. The largest specialties are Family Practice (7), Internal Medicine (3) and Nurse Practitioner (2). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does College Park Medicine,pa hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for College Park Medicine,pa was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# College Park Medicine,pa · NPI 1295815959
Family Medicine organization in Conroe, Texas. Organization record, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1295815959 (Entity type: Organization)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Christopher Chapman, PROVIDER
## Practice location
- **Address:** 690 S LOOP 336 W STE 140, Conroe, TX 77304-3320
- **Phone:** (936) 523-7041 · **Fax:** (936) 523-7042
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (7), Internal Medicine (3), Nurse Practitioner (2); 7 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295815959) · Data from the CMS NPPES public registry.