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MICHAEL J POLSKI MD PA
NPI 1417233586
Family Medicine in Burleson, TX

Active since November 02, 2011
1310 NW JOHN JONES DR, BURLESON, TX 76028(817) 297-1297(817) 297-6363 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael J Polski Md Pa NPPES

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

MICHAEL J POLSKI MD PA (NPI 1417233586) is a healthcare organization registered as a family medicine in Burleson, Texas and active in the NPI registry since November 2011. The organization lists Michael J Polski, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1417233586
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMICHAEL J POLSKI MD PA
Location Address1310 NW JOHN JONES DRBurleson, TX 76028-8040
Mailing Address1310 Nw John Jones DrBurleson, TX 76028-8040 · (817) 297-1297 · Fax (817) 297-6363
Phone(817) 297-1297
Fax(817) 297-6363
Organization SubpartNo
Authorized OfficialMichael J PolskiCeo/owner · (817) 297-1297
Enumeration DateNovember 2, 2011
✔ NPI 1417233586 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 · H9592
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.
1310 NW JOHN JONES DR, Burleson, TX 76028
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Other Identifiers 3

Medicare UPINE91006TX
Medicaid139817420TX
Medicaid139817405TX

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)

Michael J Polski Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 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 IDO20111213000616Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael J Polski MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Polski, M.D.
Emergency Medicine
NPI 1952342487
1310 NW JOHN JONES DR
Burleson, TX 76028
(817) 297-1297
✔ PECOS✔ Accepts MedicareSame 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 Michael J Polski MD PA's NPI number?

The NPI number for Michael J Polski MD PA is 1417233586. It was assigned to this organization in the NPPES registry on November 2, 2011.

Where is Michael J Polski MD PA located?

Michael J Polski MD PA is located at 1310 NW John Jones Dr, Burleson, TX 76028. The listed phone number is (817) 297-1297.

What is Michael J Polski MD PA's specialty?

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

Is Michael J Polski MD PA enrolled in Medicare?

Yes. Michael J Polski MD PA is registered in the Medicare PECOS enrollment system.

When is Michael J Polski MD 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 October 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 Michael J Polski MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Michael J Polski MD 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael J Polski MD PA was last updated on November 2, 2011. 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.