CORPUS CHRISTI FAMILY MEDICINE CENTER PA
NPI 1376513911
Family Medicine in Corpus Christi, TX

Active since January 25, 2006CLIA 45D1010791 · Waiver
601 TEXAN TRL, SUITE 200, CORPUS CHRISTI, TX 78411(361) 808-7200(361) 225-0020 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Corpus Christi Family Medicine Center Pa NPPES

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

CORPUS CHRISTI FAMILY MEDICINE CENTER PA (NPI 1376513911) is a healthcare organization registered as a family medicine in Corpus Christi, Texas and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Jonathan E Martin, President, as its authorized official.

NPPES Registry Identity

NPI1376513911
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCORPUS CHRISTI FAMILY MEDICINE CENTER PA
Location Address601 TEXAN TRL, SUITE 200Corpus Christi, TX 78411-2547
Mailing Address601 Texan Trl, Suite 200Corpus Christi, TX 78411-2547 · (361) 808-7200 · Fax (361) 225-0020
Fax(361) 225-0020
Organization SubpartNo
Authorized OfficialJonathan E MartinPresident · (361) 808-7200
Enumeration DateJanuary 25, 2006
Last NPPES UpdateMay 22, 2012
✔ NPI 1376513911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
601 TEXAN TRL, Corpus Christi, TX 78411

Other Identifiers 2

Medicaid156123501TX
Medicare ID-Type Unspecified00122UTX

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)

Corpus Christi Family Medicine Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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 IDO20100526000529Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Corpus Christi Family Medicine Center PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1659351500
601 TEXAN TRL SUITE 200
Corpus Christi, TX 78411
(361) 808-7200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1427038363
601 TEXAN TRL SUITE 200
Corpus Christi, TX 78411
(361) 808-7200
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1467946111
128 N RANDOLPH ST
Garrett, IN 46738
(260) 357-6557
✔ PECOS✔ Accepts Medicare1,167 mi

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 45D1010791

Corpus Christi Family Medicine Center PA · Corpus Christi, TX
Active · expires Mar 5, 2028
CLIA Number45D1010791
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorDr. David Heredia
Laboratory Phone(361) 808-7200
Laboratory LocationCorpus Christi Family Medicine Center PA601 Texan Trail, Suite 200, Corpus Christi, TX 78411
CLIA data matches this NPI record on: 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 Corpus Christi Family Medicine Center PA's NPI number?

The NPI number for Corpus Christi Family Medicine Center PA is 1376513911. It was assigned to this organization in the NPPES registry on January 25, 2006.

Where is Corpus Christi Family Medicine Center PA located?

Corpus Christi Family Medicine Center PA is located at 601 Texan Trl Suite 200, Corpus Christi, TX 78411. The listed phone number is (361) 808-7200.

What is Corpus Christi Family Medicine Center PA's specialty?

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

Is Corpus Christi Family Medicine Center PA enrolled in Medicare?

Yes. Corpus Christi Family Medicine Center PA is registered in the Medicare PECOS enrollment system.

When is Corpus Christi Family Medicine Center 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 January 31, 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 Corpus Christi Family Medicine Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Corpus Christi Family Medicine Center PA, in Family Practice and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Corpus Christi Family Medicine Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1010791) is associated with this NPI, valid through March 5, 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 Corpus Christi Family Medicine Center PA was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.