COASTAL BEND FAMILY MEDICINE, P.A.
NPI 1629062179
Family Medicine in Corpus Christi, TX
About Coastal Bend Family Medicine, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL BEND FAMILY MEDICINE, P.A. (NPI 1629062179) is a healthcare organization registered as a family medicine in Corpus Christi, Texas and active in the NPI registry since September 2005. The organization holds a CLIA Microscopy certificate valid through November 13, 2026 and lists David Loyd Vanderheiden, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
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)
Coastal Bend Family Medicine, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Bend Family Medicine, P.A., 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.
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 for Provider-Performed Microscopy Procedures (PPMP) 45D2049779
Coastal Bend Family Medicine PA · Corpus Christi, 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 Coastal Bend Family Medicine, P.A.'s NPI number?
The NPI number for Coastal Bend Family Medicine, P.A. is 1629062179. It was assigned to this organization in the NPPES registry on September 9, 2005.
Where is Coastal Bend Family Medicine, P.A. located?
Coastal Bend Family Medicine, P.A. is located at 4818 Holly Rd Suite A, Corpus Christi, TX 78411. The listed phone number is (361) 993-1747.
What is Coastal Bend Family Medicine, P.A.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Coastal Bend Family Medicine, P.A. enrolled in Medicare?
Yes. Coastal Bend Family Medicine, P.A. is registered in the Medicare PECOS enrollment system.
When is Coastal Bend Family Medicine, P.A.'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 December 31, 2026. 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 Coastal Bend Family Medicine, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Coastal Bend Family Medicine, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Bend Family Medicine, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2049779) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Coastal Bend Family Medicine, P.A. was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Coastal Bend Family Medicine, P.a. · NPI 1629062179
Family Medicine organization in Corpus Christi, Texas. Organization record, active in the CMS NPPES registry since September 9, 2005.
## Identity
- **NPI:** 1629062179 (Entity type: Organization)
- **Enumerated:** September 9, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** David Vanderheiden, PRESIDENT
## Practice location
- **Address:** 4818 HOLLY RD, SUITE A, Corpus Christi, TX 78411-4734
- **Phone:** (361) 993-1747 · **Fax:** (361) 993-1748
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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 8, 2017
- **Other identifiers:** Other 00K51Q (TX); Other 00K51Q (TX); Medicaid 109485601 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629062179) · Data from the CMS NPPES public registry.