NORTH DALLAS PRIMARY CARE P.A
NPI 1689861080
Internal Medicine in Richardson, TX
About North Dallas Primary Care P.a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH DALLAS PRIMARY CARE P.A (NPI 1689861080) is a healthcare organization registered as an internal medicine in Richardson, Texas and active in the NPI registry since September 2007. The organization holds a CLIA Microscopy certificate valid through August 27, 2027 and lists Shahab Ahmad, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
North Dallas Primary Care P.a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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 North Dallas Primary Care 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) 45D0990595
North Dallas Primary Care, PA · Richardson, 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 North Dallas Primary Care P.A's NPI number?
The NPI number for North Dallas Primary Care P.A is 1689861080. It was assigned to this organization in the NPPES registry on September 28, 2007.
Where is North Dallas Primary Care P.A located?
North Dallas Primary Care P.A is located at 2100 N Collins Blvd Medical Plaza 3, #315, Richardson, TX 75080. The listed phone number is (972) 235-2304.
What is North Dallas Primary Care P.A's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is North Dallas Primary Care P.A enrolled in Medicare?
Yes. North Dallas Primary Care P.A is registered in the Medicare PECOS enrollment system.
When is North Dallas Primary Care 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 February 28, 2027. 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 North Dallas Primary Care P.A?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to North Dallas Primary Care 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 North Dallas Primary Care P.A hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0990595) is associated with this NPI, valid through August 27, 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 North Dallas Primary Care P.A was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# North Dallas Primary Care P.a · NPI 1689861080
Internal Medicine organization in Richardson, Texas. Organization record, active in the CMS NPPES registry since September 28, 2007.
## Identity
- **NPI:** 1689861080 (Entity type: Organization)
- **Enumerated:** September 28, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Shahab Ahmad, PRESIDENT
## Practice location
- **Address:** 2100 N COLLINS BLVD, MEDICAL PLAZA 3, #315, Richardson, TX 75080-2661
- **Phone:** (972) 235-2304 · **Fax:** (972) 235-8442
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2014
- **Other identifiers:** Medicare PIN 00694R (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689861080) · Data from the CMS NPPES public registry.