GUADALUPE MC LLC
NPI 1437720257
Pediatrics in Dallas, TX

Active since July 02, 2021CLIA 45D2265733 · Waiver
18220 MIDWAY RD # 999, DALLAS, TX 75287(469) 501-1006(469) 606-0753 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2026, Aug 26, 2021, Jul 2, 2021 (3 updates tracked since 2021).

About Guadalupe Mc Llc NPPES

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

GUADALUPE MC LLC (NPI 1437720257) is a healthcare organization registered as a pediatrics in Dallas, Texas and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through July 31, 2028, maintains 3 additional practice locations, and lists Marcial Oquendo Rincon, Md (owner), as its authorized official.

NPPES Registry Identity

NPI1437720257
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGUADALUPE MC LLC
Location Address18220 MIDWAY RD # 999Dallas, TX 75287-4901
Mailing Address14951 Dallas Pkwy Ste 190Dallas, TX 75254-6894 · (469) 501-1006 · Fax (469) 606-0753
Fax(469) 606-0753
Organization SubpartNo
Authorized OfficialMarcial Oquendo RinconMd (owner) · (469) 606-0753
Enumeration DateJuly 2, 2021
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1437720257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X
18220 MIDWAY RD # 999, Dallas, TX 75287

Secondary Practice Locations 3

Location 1611 N MacArthur Blvd Ste 110Irving, TX 75061-7467 · Phone (469) 501-1006 · Fax (469) 606-0753
Location 21927 E Belt Line Rd Ste 147Carrollton, TX 75006-5814 · Phone (469) 501-1006 · Fax (469) 606-0753
Location 326875 W University Dr Suite 104DALLAS, TX 76227 · Phone (469) 501-1006 · Fax (469) 606-0753

Group Practice 2

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Guadalupe Mc Llc 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 Guadalupe Mc LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pediatric Medicine
NPI 1821482886
18220 MIDWAY RD # 999
Dallas, TX 75287
(469) 501-1006
✔ PECOSSame 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 45D2265733

Guadalupe Mc, LLC · Dallas, TX
Active · expires Jul 31, 2028
CLIA Number45D2265733
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2026
Certificate Expiration DateJuly 31, 2028
Laboratory DirectorMarcial Quendo
Laboratory Phone(469) 501-1006
Laboratory LocationGuadalupe Mc, LLC18220 Midway Rd, Dallas, TX 75287
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 Guadalupe Mc LLC's NPI number?

The NPI number for Guadalupe Mc LLC is 1437720257. It was assigned to this organization in the NPPES registry on July 2, 2021.

Where is Guadalupe Mc LLC located?

Guadalupe Mc LLC is located at 18220 Midway Rd # 999, Dallas, TX 75287. The listed phone number is (469) 501-1006.

What is Guadalupe Mc LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Guadalupe Mc LLC enrolled in Medicare?

Yes. Guadalupe Mc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Guadalupe Mc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Guadalupe Mc LLC. 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 Guadalupe Mc LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2265733) is associated with this NPI, valid through July 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Guadalupe Mc LLC accept?

Health plans from Molina Healthcare list Guadalupe Mc LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Guadalupe Mc LLC was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.