LUFKIN ADULT MEDICINE CLINIC
NPI 1689738338
Clinic/Center in Lufkin, TX
About Lufkin Adult Medicine Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUFKIN ADULT MEDICINE CLINIC (NPI 1689738338) is a healthcare organization registered as a clinic/center in Lufkin, Texas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Samuel S Santiago, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Lufkin Adult Medicine Clinic 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lufkin Adult Medicine Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 45D0991881
Lufkin Adult Medicine Clinic · Lufkin, 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 Lufkin Adult Medicine Clinic's NPI number?
The NPI number for Lufkin Adult Medicine Clinic is 1689738338. It was assigned to this organization in the NPPES registry on December 20, 2006.
Where is Lufkin Adult Medicine Clinic located?
Lufkin Adult Medicine Clinic is located at 202 S Bynum St, Lufkin, TX 75904. The listed phone number is (936) 632-9277.
What is Lufkin Adult Medicine Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Lufkin Adult Medicine Clinic enrolled in Medicare?
Yes. Lufkin Adult Medicine Clinic is registered in the Medicare PECOS enrollment system.
When is Lufkin Adult Medicine Clinic'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 Lufkin Adult Medicine Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Lufkin Adult Medicine Clinic. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lufkin Adult Medicine Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0991881) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lufkin Adult Medicine Clinic was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Lufkin Adult Medicine Clinic · NPI 1689738338
Clinic/Center organization in Lufkin, Texas. Organization record, active in the CMS NPPES registry since December 20, 2006.
## Identity
- **NPI:** 1689738338 (Entity type: Organization)
- **Enumerated:** December 20, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Samuel Santiago, PRESIDENT
## Practice location
- **Address:** 202 S BYNUM ST, Lufkin, TX 75904-3913
- **Phone:** (936) 632-9277 · **Fax:** (936) 632-9285
## 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:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 18, 2011
- **Other identifiers:** Medicaid 142942501 (TX); Medicare ID-Type Unspecified 00453R (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689738338) · Data from the CMS NPPES public registry.