EXCEL FAMILY MEDICINE & PEDIATRICS CLINIC, INC
NPI 1336485838
Family Medicine in Desoto, TX

Active since January 02, 2013
2707 BOLTON BOONE DR., SUITE 100, DESOTO, TX 75115(469) 206-2630(214) 730-4281 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Excel Family Medicine & Pediatrics Clinic, Inc NPPES

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

EXCEL FAMILY MEDICINE & PEDIATRICS CLINIC, INC (NPI 1336485838) is a healthcare organization registered as a family medicine in Desoto, Texas and active in the NPI registry since January 2013. The organization lists Dennis O Ochei, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336485838
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEXCEL FAMILY MEDICINE & PEDIATRICS CLINIC, INC
Location Address2707 BOLTON BOONE DR., SUITE 100Desoto, TX 75115-2019
Mailing Address2707 Bolton Boone Dr., Suite 100Desoto, TX 75115-2019 · (469) 206-2630 · Fax (214) 730-4281
Fax(214) 730-4281
Organization SubpartNo
Authorized OfficialDennis O OcheiExecutive Director · (469) 206-2630
Enumeration DateJanuary 2, 2013
Last NPPES UpdateNovember 3, 2016
✔ NPI 1336485838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K8394
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.
2707 BOLTON BOONE DR., Desoto, TX 75115

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Excel Family Medicine & Pediatrics Clinic, Inc 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 Excel Family Medicine & Pediatrics Clinic, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1083736326
2707 BOLTON BOONE DR STE 100
Desoto, TX 75115
(469) 206-2630
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Excel Family Medicine & Pediatrics Clinic, Inc's NPI number?

The NPI number for Excel Family Medicine & Pediatrics Clinic, Inc is 1336485838. It was assigned to this organization in the NPPES registry on January 2, 2013.

Where is Excel Family Medicine & Pediatrics Clinic, Inc located?

Excel Family Medicine & Pediatrics Clinic, Inc is located at 2707 Bolton Boone Dr. Suite 100, Desoto, TX 75115. The listed phone number is (469) 206-2630.

What is Excel Family Medicine & Pediatrics Clinic, Inc's specialty?

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

Is Excel Family Medicine & Pediatrics Clinic, Inc enrolled in Medicare?

Yes. Excel Family Medicine & Pediatrics Clinic, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Excel Family Medicine & Pediatrics Clinic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Excel Family Medicine & Pediatrics Clinic, Inc. 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.

When was this NPI record last updated?

The NPPES record for Excel Family Medicine & Pediatrics Clinic, Inc was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.