QUALITY CARE MEDICAL CENTER OF KINGSVILLE PA
NPI 1700206133
Internal Medicine in Kingsville, TX

Active since April 24, 2014CLIA 45D2087703 · Waiver
510 E CAESAR AVE, KINGSVILLE, TX 78363(361) 502-8588(361) 592-2357 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Quality Care Medical Center Of Kingsville Pa NPPES

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

QUALITY CARE MEDICAL CENTER OF KINGSVILLE PA (NPI 1700206133) is a healthcare organization registered as an internal medicine in Kingsville, Texas and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Jerin Bryant, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1700206133
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameQUALITY CARE MEDICAL CENTER OF KINGSVILLE PA
Location Address510 E CAESAR AVEKingsville, TX 78363
Mailing Address510 E Caesar Ave.Kingsville, TX 78363 · (361) 502-8588 · Fax (361) 592-2357
Fax(361) 592-2357
Organization SubpartNo
Authorized OfficialJerin BryantCo-owner · (361) 592-8588
Enumeration DateApril 24, 2014
✔ NPI 1700206133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · E8082
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA03924 (TX)
510 E CAESAR AVE, Kingsville, TX 78363

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quality Care Medical Center Of Kingsville Pa 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 Quality Care Medical Center Of Kingsville PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1861986903
510 E CAESAR AVENUE
Kingsville, TX 78363
(361) 592-8588
✔ PECOS✔ Accepts MedicareSame address

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 45D2087703

Quality Care Medical Center Of Kingsville PA · Kingsville, TX
Active · expires Dec 1, 2026
CLIA Number45D2087703
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorJerin D. Bryant
Laboratory Phone(361) 592-8588
Laboratory LocationQuality Care Medical Center Of Kingsville PA510 E Caesar Ave, Kingsville, TX 78363
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Quality Care Medical Center Of Kingsville PA's NPI number?

The NPI number for Quality Care Medical Center Of Kingsville PA is 1700206133. It was assigned to this organization in the NPPES registry on April 24, 2014.

Where is Quality Care Medical Center Of Kingsville PA located?

Quality Care Medical Center Of Kingsville PA is located at 510 E Caesar Ave, Kingsville, TX 78363. The listed phone number is (361) 502-8588.

What is Quality Care Medical Center Of Kingsville PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Quality Care Medical Center Of Kingsville PA enrolled in Medicare?

Yes. Quality Care Medical Center Of Kingsville PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Quality Care Medical Center Of Kingsville PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Quality Care Medical Center Of Kingsville PA. 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 Quality Care Medical Center Of Kingsville PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2087703) is associated with this NPI, valid through December 1, 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 Quality Care Medical Center Of Kingsville PA was last updated on April 24, 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.