ADDIS FAMILY PRACTICE CLINIC LLC
NPI 1558720383
Family Medicine in Richardson, TX
About Addis Family Practice Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADDIS FAMILY PRACTICE CLINIC LLC (NPI 1558720383) is a healthcare organization registered as a family medicine in Richardson, Texas and active in the NPI registry since February 2016. The organization lists Bekele Chamiso Olbamo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Addis Family Practice Clinic 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 Addis Family Practice Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Addis Family Practice Clinic LLC's NPI number?
The NPI number for Addis Family Practice Clinic LLC is 1558720383. It was assigned to this organization in the NPPES registry on February 22, 2016.
Where is Addis Family Practice Clinic LLC located?
Addis Family Practice Clinic LLC is located at 2135 Buckingham Rd, Richardson, TX 75081. The listed phone number is (469) 835-2836.
What is Addis Family Practice Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Addis Family Practice Clinic LLC enrolled in Medicare?
Yes. Addis Family Practice Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Addis Family Practice Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Addis Family Practice Clinic 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.
When was this NPI record last updated?
The NPPES record for Addis Family Practice Clinic LLC was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Addis Family Practice Clinic Llc · NPI 1558720383
Family Medicine organization in Richardson, Texas. Organization record, active in the CMS NPPES registry since February 22, 2016.
## Identity
- **NPI:** 1558720383 (Entity type: Organization)
- **Enumerated:** February 22, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Bekele Olbamo, OWNER
## Practice location
- **Address:** 2135 BUCKINGHAM RD, Richardson, TX 75081-5459
- **Phone:** (469) 835-2836
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1558720383) · Data from the CMS NPPES public registry.