ALTUS PREMIER HEALTH CLINIC P.L.L.C.
NPI 1528408523
Preferred Provider Organization in Altus, OK
About Altus Premier Health Clinic P.l.l.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALTUS PREMIER HEALTH CLINIC P.L.L.C. (NPI 1528408523) is a healthcare organization registered as a preferred provider organization in Altus, Oklahoma and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through July 4, 2027 and lists Abdallah S Dawod, M.d., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Altus Premier Health Clinic P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Altus Premier Health Clinic P.L.L.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 37D2061795
Altus Premier Health Clinic · Altus, OKFrequently 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 Altus Premier Health Clinic P.L.L.C.'s NPI number?
The NPI number for Altus Premier Health Clinic P.L.L.C. is 1528408523. It was assigned to this organization in the NPPES registry on July 5, 2013.
Where is Altus Premier Health Clinic P.L.L.C. located?
Altus Premier Health Clinic P.L.L.C. is located at 304 S Park Ln Ste B, Altus, OK 73521. The listed phone number is (580) 379-6550.
What is Altus Premier Health Clinic P.L.L.C.'s specialty?
The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.
Is Altus Premier Health Clinic P.L.L.C. enrolled in Medicare?
Yes. Altus Premier Health Clinic P.L.L.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Altus Premier Health Clinic P.L.L.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Altus Premier Health Clinic P.L.L.C.. 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 Nurse Practitioner (4), Family Practice (1) and Internal Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Altus Premier Health Clinic P.L.L.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2061795) is associated with this NPI, valid through July 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Altus Premier Health Clinic P.L.L.C. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Altus Premier Health Clinic P.L.L.C. 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 Altus Premier Health Clinic P.L.L.C. was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Altus Premier Health Clinic P.l.l.c. · NPI 1528408523
Preferred Provider Organization organization in Altus, Oklahoma. Organization record, active in the CMS NPPES registry since July 5, 2013.
## Identity
- **NPI:** 1528408523 (Entity type: Organization)
- **Enumerated:** July 5, 2013
- **Primary specialty:** Preferred Provider Organization · taxonomy 305R00000X
- **Organization subpart:** No
- **Authorized official:** Abdallah Dawod, M.D.
## Practice location
- **Address:** 304 S PARK LN STE B, Altus, OK 73521-5754
- **Phone:** (580) 379-6550 · **Fax:** (580) 379-6559
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2016
- **Other identifiers:** Medicaid 200053860B (OK); Medicaid 200527450A (OK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528408523) · Data from the CMS NPPES public registry.