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REGENT CROSS MEDICAL CLINIC PLLC
NPI 1427300078
Internal Medicine in El Paso, TX

Active since October 05, 2012CLIA 45D2103781 · Waiver
11620 PELLICANO DR STE A, EL PASO, TX 79936(915) 996-9363(915) 613-5496 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Regent Cross Medical Clinic Pllc NPPES

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

REGENT CROSS MEDICAL CLINIC PLLC (NPI 1427300078) is a healthcare organization registered as an internal medicine in El Paso, Texas and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Ikedieze Igwe Chukwu, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1427300078
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREGENT CROSS MEDICAL CLINIC PLLC
Location Address11620 PELLICANO DR STE AEl Paso, TX 79936-6250
Mailing Address11620 Pellicano Dr Ste AEl Paso, TX 79936-6250 · (915) 996-9363 · Fax (915) 613-5496
Phone(915) 996-9363
Fax(915) 613-5496
Organization SubpartNo
Authorized OfficialIkedieze Igwe ChukwuMedical Director · (915) 996-9363
Enumeration DateOctober 5, 2012
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1427300078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N2442
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.
11620 PELLICANO DR STE A, El Paso, TX 79936
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regent Cross Medical Clinic Pllc 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 Regent Cross Medical Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ikedieze Chukwu, M.D.
Internal Medicine
NPI 1720285661
11620 PELLICANO DR. STE A
El Paso, TX 79936
(915) 996-9363
✔ 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.

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 45D2103781

Regent Cross Medical Clinic LLC · El Paso, TX
Active · expires Dec 8, 2026
CLIA Number45D2103781
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorIkedieze I. Chukwu
Laboratory Phone(915) 996-9363
Laboratory LocationRegent Cross Medical Clinic LLC11620 Pellicano Dr. Ste A, El Paso, TX 79936
CLIA data matches this NPI record on: Address 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 Regent Cross Medical Clinic PLLC's NPI number?

The NPI number for Regent Cross Medical Clinic PLLC is 1427300078. It was assigned to this organization in the NPPES registry on October 5, 2012.

Where is Regent Cross Medical Clinic PLLC located?

Regent Cross Medical Clinic PLLC is located at 11620 Pellicano Dr Ste A, El Paso, TX 79936. The listed phone number is (915) 996-9363.

What is Regent Cross Medical Clinic PLLC's specialty?

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

Is Regent Cross Medical Clinic PLLC enrolled in Medicare?

Yes. Regent Cross Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regent Cross Medical Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Regent Cross Medical Clinic PLLC. 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.

Does Regent Cross Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2103781) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Regent Cross Medical Clinic PLLC was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.