ARAPAHO VILLAGE MEDICAL ASSOCIATION
NPI 1487771523
Family Medicine in Richardson, TX

Active since March 23, 2007CLIA 45D0477769 · Waiver
403 W CAMPBELL RD, SUITE 103, RICHARDSON, TX 75080(972) 235-8311(972) 235-2663 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Arapaho Village Medical Association NPPES

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

ARAPAHO VILLAGE MEDICAL ASSOCIATION (NPI 1487771523) is a healthcare organization registered as a family medicine in Richardson, Texas and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Pat Ross, Accounting, as its authorized official.

NPPES Registry Identity

NPI1487771523
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameARAPAHO VILLAGE MEDICAL ASSOCIATION
Location Address403 W CAMPBELL RD, SUITE 103Richardson, TX 75080-3465
Mailing Address403 W Campbell Rd, Suite 103Richardson, TX 75080-3465 · (972) 235-8311 · Fax (972) 235-2663
Fax(972) 235-2663
Organization SubpartNo
Authorized OfficialPat RossAccounting · (972) 235-8311
Enumeration DateMarch 23, 2007
Last NPPES UpdateAugust 12, 2010
✔ NPI 1487771523 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.
403 W CAMPBELL RD, Richardson, TX 75080

Other Identifiers 4

Medicare UPINB21375TX
Medicare UPINH25396TX
Medicare UPINH55210TX
Medicare UPINE11243TX

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arapaho Village Medical Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Arapaho Village Medical Association, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1164430302
403 W CAMPBELL RD SUITE 103
Richardson, TX 75080
(972) 235-8311
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1982612180
403 W CAMPBELL RD SUITE 103
Richardson, TX 75080
(972) 235-8311
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1497763627
403 W CAMPBELL RD SUITE 103
Richardson, TX 75080
(972) 235-8311
✔ PECOS✔ Accepts Medicare0.3 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 45D0477769

Arapaho Village Medical Association · Richardson, TX
Active · expires Dec 22, 2027
CLIA Number45D0477769
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDavid Bonnet
Laboratory Phone(972) 235-8311
Laboratory LocationArapaho Village Medical Association403 West Campbell Suite 103, Richardson, TX 75080
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 Arapaho Village Medical Association's NPI number?

The NPI number for Arapaho Village Medical Association is 1487771523. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Arapaho Village Medical Association located?

Arapaho Village Medical Association is located at 403 W Campbell Rd Suite 103, Richardson, TX 75080. The listed phone number is (972) 235-8311.

What is Arapaho Village Medical Association's specialty?

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

Is Arapaho Village Medical Association enrolled in Medicare?

Yes. Arapaho Village Medical Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arapaho Village Medical Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Arapaho Village Medical Association. 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 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Arapaho Village Medical Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0477769) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arapaho Village Medical Association was last updated on August 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.