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IMPACT PHYSICIAN GROUP, TEXAS LLC
NPI 1740803113
Internal Medicine in Lufkin, TX

Active since May 20, 2020
302 GOBBLERS KNOB RD, LUFKIN, TX 75904(936) 632-2295 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 19, 2022, May 20, 2020 (2 updates tracked since 2020).

About Impact Physician Group, Texas Llc NPPES

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

IMPACT PHYSICIAN GROUP, TEXAS LLC (NPI 1740803113) is a healthcare organization registered as an internal medicine in Lufkin, Texas and active in the NPI registry since May 2020. The organization maintains 7 additional practice locations and lists Paul Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740803113
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIMPACT PHYSICIAN GROUP, TEXAS LLC
Location Address302 GOBBLERS KNOB RDLufkin, TX 75904-5419
Mailing Address21 Eastbrook Bnd Ste 218Peachtree City, GA 30269-1546 · (678) 967-5599
Phone(936) 632-2295
Organization SubpartNo
Authorized OfficialPaul MillerCeo · (678) 967-5599
Enumeration DateMay 20, 2020
Last NPPES UpdateSeptember 15, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2023
✔ NPI 1740803113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
302 GOBBLERS KNOB RD, Lufkin, TX 75904
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Secondary Practice Locations 7

Location 13300 Farm to Market 1788Midland, TX 79706 · Phone (432) 561-5915
Location 28903 Floyd Curl DrSan Antonio, TX 78240-3482 · Phone (469) 640-6500
Location 34302 Princeton StLubbock, TX 79415-1304 · Phone (806) 749-2222
Location 4906 James StWeslaco, TX 78596-9840 · Phone (956) 969-2222
Location 5425 E Alton Gloor BlvdBrownsville, TX 78526-3361 · Phone (956) 554-6000
Location 6615 Clinic DrLongview, TX 75605-5172 · Phone (903) 212-3105
Location 71023 N Belt Line RdMesquite, TX 75149-1788 · Phone (972) 216-2400

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)

Impact Physician Group, Texas Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Impact Physician Group, Texas LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Akta Rajani, M.D.
Hospice/Palliative Care
NPI 1003264334
3948 LEGACY DR STE 106-392
Plano, TX 75023
(469) 261-7599
✔ PECOS✔ Accepts Medicare170 mi
Sajita Shiwakoti
Nurse Practitioner
NPI 1922782200
500 FORT WORTH DR STE 140
Denton, TX 76201
(940) 320-0505
✔ PECOS191 mi
Rose Gaelle Moale, FNP
Nurse Practitioner
NPI 1417544347
3300 S FM 1788
Midland, TX 79706
(325) 615-9154
✔ PECOS✔ Accepts Medicare443 mi
Haris Siraj, MD
Internal Medicine
NPI 1982045902
1402 E COUNTY LINE RD
Indianapolis, IN 46227
(317) 887-7805
✔ PECOS✔ Accepts Medicare751 mi
Abdul Moiz, MD
Internal Medicine
NPI 1760672760
8402 HARCOURT RD STE 500
Indianapolis, IN 46260
(317) 338-6701
✔ PECOS✔ Accepts Medicare763 mi
Zubair Khan, M.D
Internal Medicine
NPI 1134416019
8060 KNUE RD
Indianapolis, IN 46250
(317) 813-8900
✔ PECOS✔ Accepts Medicare767 mi
Ashishkumar Patel, M.D.
Pediatric Medicine
NPI 1689811176
1919 E THOMAS RD
Phoenix, AZ 85016
(602) 933-6345
✔ PECOS1,021 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Impact Physician Group, Texas LLC's NPI number?

The NPI number for Impact Physician Group, Texas LLC is 1740803113. It was assigned to this organization in the NPPES registry on May 20, 2020.

Where is Impact Physician Group, Texas LLC located?

Impact Physician Group, Texas LLC is located at 302 Gobblers Knob Rd, Lufkin, TX 75904. The listed phone number is (936) 632-2295.

What is Impact Physician Group, Texas LLC's specialty?

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

Is Impact Physician Group, Texas LLC enrolled in Medicare?

Yes. Impact Physician Group, Texas LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Physician Group, Texas LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Impact Physician Group, Texas LLC. 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. The largest specialties are Internal Medicine (3), Nurse Practitioner (2) and Hospice/Palliative Care (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Impact Physician Group, Texas LLC was last updated on September 15, 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.