BOPPANA PRIMARY CARE CLINIC, PLLC
NPI 1326168139
Internal Medicine in Richardson, TX

Active since March 29, 2007CLIA 45D0995610 · Waiver
2460 N CENTRAL EXPY, SUITE 101, RICHARDSON, TX 75080(972) 644-1100(972) 644-1107 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boppana Primary Care Clinic, Pllc NPPES

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

BOPPANA PRIMARY CARE CLINIC, PLLC (NPI 1326168139) is a healthcare organization registered as an internal medicine in Richardson, Texas and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Sita M Boppana, President, as its authorized official.

NPPES Registry Identity

NPI1326168139
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBOPPANA PRIMARY CARE CLINIC, PLLC
Location Address2460 N CENTRAL EXPY, SUITE 101Richardson, TX 75080-2713
Mailing AddressPo Box 830066Richardson, TX 75083-0066 · (972) 644-1100 · Fax (972) 644-1107
Fax(972) 644-1107
Organization SubpartNo
Authorized OfficialSita M BoppanaPresident · (972) 644-1100
Enumeration DateMarch 29, 2007
Last NPPES UpdateNovember 5, 2018
NPI 1326168139 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.

2460 N CENTRAL EXPY, Richardson, TX 75080

Other Identifiers 1

Medicaid151198201TX

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

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 45D0995610

Boppana Primary Care Clinic PA · Richardson, TX
Active · expires Jan 24, 2028
CLIA Number45D0995610
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorSita M. Boppana
Laboratory Phone(972) 644-1100
Laboratory LocationBoppana Primary Care Clinic PA2460 N Central Expy Suite 101, Richardson, TX 75080
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2460 N CENTRAL EXPY, SUITE 101
RICHARDSON, TX 75080
Orthopaedic Surgery
2460 N CENTRAL EXPY
RICHARDSON, TX 75080
Orthopaedic Surgery
2460 N CENTRAL EXPY
RICHARDSON, TX 75080

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 Boppana Primary Care Clinic, PLLC's NPI number?

The NPI number for Boppana Primary Care Clinic, PLLC is 1326168139. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Boppana Primary Care Clinic, PLLC located?

Boppana Primary Care Clinic, PLLC is located at 2460 N Central Expy Suite 101, Richardson, TX 75080. The listed phone number is (972) 644-1100.

What is Boppana Primary Care Clinic, PLLC's specialty?

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

Does Boppana Primary Care Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0995610) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Boppana Primary Care Clinic, PLLC was last updated on November 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.