RIDGEWOOD MEDICAL CLINIC
NPI 1497876288
Family Medicine in Garland, TX
About Ridgewood Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIDGEWOOD MEDICAL CLINIC (NPI 1497876288) is a healthcare organization registered as a family medicine in Garland, Texas and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through December 12, 2026 and lists Bruce E. Wardlay, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Ridgewood Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Ridgewood Medical Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
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 Compliance 45D1003967
Ridgewood Medical Clinic · Garland, TXFrequently 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 Kingsley Medical Clinic, P.A.'s NPI number?
The NPI number for Kingsley Medical Clinic, P.A. is 1497876288. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Ridgewood Medical Clinic.
Where is Kingsley Medical Clinic, P.A. located?
Kingsley Medical Clinic, P.A. is located at 219 W Kingsley Rd Suit 336, Garland, TX 75041. The listed phone number is (972) 271-5544.
What is Kingsley Medical Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kingsley Medical Clinic, P.A. enrolled in Medicare?
Yes. Kingsley Medical Clinic, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kingsley Medical Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Kingsley Medical Clinic, P.A.. 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. The largest specialties are Family Practice (3) and General Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kingsley Medical Clinic, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 45D1003967) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Kingsley Medical Clinic, P.A. accept?
Health plans from Molina Healthcare and WellPoint list Kingsley Medical Clinic, P.A. 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 Kingsley Medical Clinic, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ridgewood Medical Clinic · NPI 1497876288
Family Medicine organization in Garland, Texas. Organization record, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1497876288 (Entity type: Organization)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Kingsley Medical Clinic, P.a.
- **Organization subpart:** No
- **Authorized official:** Bruce Wardlay, OWNER
## Practice location
- **Address:** 219 W KINGSLEY RD, SUIT 336, Garland, TX 75041-3448
- **Phone:** (972) 271-5544
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), General Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497876288) · Data from the CMS NPPES public registry.