HEAL 360 PRIMARY CARE PLLC
NPI 1588022800
General Practice in Wylie, TX

Active since February 01, 2016CLIA Certified · 2 labs
2806 W FM 544, WYLIE, TX 75098(972) 226-8900(972) 218-0554 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2023, Jul 8, 2023, Nov 2, 2022 and 1 more (4 updates tracked since 2016).

About Heal 360 Primary Care Pllc NPPES

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

HEAL 360 PRIMARY CARE PLLC (NPI 1588022800) is a healthcare organization registered as a general practice in Wylie, Texas and active in the NPI registry since February 2016. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Mohammed Mohiuddin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588022800
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHEAL 360 PRIMARY CARE PLLC
Location Address2806 W FM 544Wylie, TX 75098-7022
Mailing Address1313 Bravura DrPlano, TX 75074-0107 · (972) 226-8900 · Fax (469) 861-8625
Fax(972) 218-0554
Organization SubpartNo
Authorized OfficialMohammed MohiuddinCeo · (972) 900-6009
Enumeration DateFebruary 1, 2016
Last NPPES UpdateAugust 11, 20234 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
NPI 1588022800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2806 W FM 544, Wylie, TX 75098

Secondary Practice Locations 2

Location 13320 Lavon DrGarland, TX 75040-2910 · Phone (972) 200-2595 · Fax (972) 218-0554
Location 2940 W Stacy Rd Ste 110Allen, TX 75013-5215 · Phone (214) 833-3100 · Fax (972) 992-2428

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

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 45D2165280

Heal 360 Primary Care, PLLC · Plano, TX
Active · expires Jul 20, 2028
CLIA Number45D2165280
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorMohammed A. Mohiddin
Laboratory Phone(972) 226-8900
Laboratory LocationHeal 360 Primary Care, PLLC1360 Star Ct Suite T1, Plano, TX 75074
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2250229

Heal 360 Primary Care · El Paso, TX
Active · expires Jan 24, 2028
CLIA Number45D2250229
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorMohammed A. Mohiuddin
Laboratory Phone(972) 226-8900
Laboratory LocationHeal 360 Primary Care2044 Trawood Dr, El Paso, TX 79935
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2111380

Heal 360 Primary Care, PLLC · Wylie, TX
Expired · Jul 20, 2026
CLIA Number45D2111380
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2024
Certificate Expiration DateJuly 20, 2026
Laboratory DirectorMohamed A. Mohiuddin
Laboratory Phone(972) 226-8900
Laboratory LocationHeal 360 Primary Care, PLLC2806 E Fm 544, Wylie, TX 75098
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2806 W FM 544
WYLIE, TX 75098
Family Medicine
2806 W FM 544
WYLIE, TX 75098
Internal Medicine
2806 W FM 544
WYLIE, TX 75098
Family Medicine
2806 W FM 544
WYLIE, TX 75098
Internal Medicine
2806 W FM 544
WYLIE, TX 75098
Internal Medicine
2806 W FM 544
WYLIE, TX 75098

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 Heal 360 Primary Care PLLC's NPI number?

The NPI number for Heal 360 Primary Care PLLC is 1588022800. It was assigned to this organization in the NPPES registry on February 1, 2016.

Where is Heal 360 Primary Care PLLC located?

Heal 360 Primary Care PLLC is located at 2806 W Fm 544, Wylie, TX 75098. The listed phone number is (972) 226-8900.

What is Heal 360 Primary Care PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Heal 360 Primary Care PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Heal 360 Primary Care PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Heal 360 Primary Care PLLC 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 Heal 360 Primary Care PLLC was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.