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ALLERGY & ASTHMA CARE OF WACO, PA
NPI 1487847463
Specialist in Waco, TX

Active since August 22, 2007CLIA 45D1078060 · Waiver
221 JEWELL DR, WACO, TX 76712(254) 753-3646(254) 753-1411 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 28, 2021, Jul 20, 2021, Jul 12, 2021 (3 updates tracked since 2021).

About Allergy & Asthma Care Of Waco, Pa NPPES

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

ALLERGY & ASTHMA CARE OF WACO, PA (NPI 1487847463) is a healthcare organization registered as a specialist in Waco, Texas and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists Pramila K. Daftary, President, as its authorized official.

NPPES Registry Identity

NPI1487847463
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALLERGY & ASTHMA CARE OF WACO, PA
Location Address221 JEWELL DRWaco, TX 76712-6630
Mailing Address221 Jewell DrWaco, TX 76712-6630 · (254) 753-3646 · Fax (254) 753-1411
Phone(254) 753-3646
Fax(254) 753-1411
Organization SubpartNo
Authorized OfficialPramila K. DaftaryPresident · (254) 753-3646
Enumeration DateAugust 22, 2007
Last NPPES UpdateJuly 28, 20213 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
✔ NPI 1487847463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · G1639
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
221 JEWELL DR, Waco, TX 76712
Open in Google Maps ↗

Other Identifiers 1

Medicaid080984001TX

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 MULTIPLE 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)

Allergy & Asthma Care Of Waco, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20090617000392Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Allergy & Asthma Care Of Waco, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dustin Fowler, D.O.
Allergy/Immunology
NPI 1508247024
221 JEWELL DR
Waco, TX 76712
(254) 753-1411
✔ PECOS✔ Accepts MedicareSame address
Pramila Daftary, M.D.
Allergy/Immunology
NPI 1255399945
221 JEWELL DR
Waco, TX 76712
(254) 753-3646
✔ PECOS✔ Accepts MedicareSame address
Leslie Muenzler, NP-C
Nurse Practitioner
NPI 1508268095
221 JEWELL DR
Waco, TX 76712
(254) 753-3646
✔ 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 45D1078060

Allergy & Asthma Care Of Waco · Waco, TX
Active · expires Dec 27, 2027
CLIA Number45D1078060
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorPramila K. Daftary
Laboratory Phone(254) 753-3646
Laboratory LocationAllergy & Asthma Care Of Waco221 Jewell Drive, Waco, TX 76712
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 Allergy & Asthma Care Of Waco, PA's NPI number?

The NPI number for Allergy & Asthma Care Of Waco, PA is 1487847463. It was assigned to this organization in the NPPES registry on August 22, 2007.

Where is Allergy & Asthma Care Of Waco, PA located?

Allergy & Asthma Care Of Waco, PA is located at 221 Jewell Dr, Waco, TX 76712. The listed phone number is (254) 753-3646.

What is Allergy & Asthma Care Of Waco, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Allergy & Asthma Care Of Waco, PA enrolled in Medicare?

Yes. Allergy & Asthma Care Of Waco, PA is registered in the Medicare PECOS enrollment system.

When is Allergy & Asthma Care Of Waco, 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 January 31, 2027. 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 Allergy & Asthma Care Of Waco, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Allergy & Asthma Care Of Waco, PA, in Allergy/Immunology 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Allergy & Asthma Care Of Waco, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1078060) is associated with this NPI, valid through December 27, 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 Allergy & Asthma Care Of Waco, PA was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.