HOMETOWN PHYSICAL MEDICINE, PLLC
NPI 1376809848
Internal Medicine in Ennis, TX

Active since April 09, 2012
2200 W ENNIS AVE, ENNIS, TX 75119(972) 875-8600(972) 875-8481 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hometown Physical Medicine, Pllc NPPES

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

HOMETOWN PHYSICAL MEDICINE, PLLC (NPI 1376809848) is a healthcare organization registered as an internal medicine in Ennis, Texas and active in the NPI registry since April 2012. The organization lists Michael K Schrader, Owner, as its authorized official.

NPPES Registry Identity

NPI1376809848
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHOMETOWN PHYSICAL MEDICINE, PLLC
Location Address2200 W ENNIS AVEEnnis, TX 75119-8054
Mailing Address2200 W Ennis AveEnnis, TX 75119-8054 · (972) 875-8600 · Fax (972) 875-8481
Fax(972) 875-8481
Organization SubpartNo
Authorized OfficialMichael K SchraderOwner · (972) 875-8600
Enumeration DateApril 9, 2012
Last NPPES UpdateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1376809848 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.
2200 W ENNIS AVE, Ennis, TX 75119

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20130502000466Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
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 Hometown Physical Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1467277459
2200 W ENNIS AVE
Ennis, TX 75119
(972) 875-8600
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1053398404
6020 W PARKER RD #420
Plano, TX 75093
(972) 244-1300
✔ PECOS✔ Accepts Medicare51 mi

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 Hometown Physical Medicine, PLLC's NPI number?

The NPI number for Hometown Physical Medicine, PLLC is 1376809848. It was assigned to this organization in the NPPES registry on April 9, 2012.

Where is Hometown Physical Medicine, PLLC located?

Hometown Physical Medicine, PLLC is located at 2200 W Ennis Ave, Ennis, TX 75119. The listed phone number is (972) 875-8600.

What is Hometown Physical Medicine, PLLC's specialty?

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

Is Hometown Physical Medicine, PLLC enrolled in Medicare?

Yes. Hometown Physical Medicine, PLLC is registered in the Medicare PECOS enrollment system.

When is Hometown Physical 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 December 31, 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 Hometown Physical Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Hometown Physical Medicine, PLLC, in Internal Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hometown Physical Medicine, PLLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.