BEULAH MEDICAL CLINIC
NPI 1750144150
Clinic/Center in Desoto, TX
About Beulah Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEULAH MEDICAL CLINIC (NPI 1750144150) is a healthcare organization registered as a clinic/center in Desoto, Texas and active in the NPI registry since January 2024. The organization lists Patrick Moneke, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beulah Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Beulah Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (17)
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 Beulah Family Clinic Professional Limited Liability Company's NPI number?
The NPI number for Beulah Family Clinic Professional Limited Liability Company is 1750144150. It was assigned to this organization in the NPPES registry on January 30, 2024. The provider is also known as Beulah Medical Clinic.
Where is Beulah Family Clinic Professional Limited Liability Company located?
Beulah Family Clinic Professional Limited Liability Company is located at 1534-A N Hampton Road Suite 100, Desoto, TX 75115. The listed phone number is (469) 585-8129.
What is Beulah Family Clinic Professional Limited Liability Company's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Beulah Family Clinic Professional Limited Liability Company enrolled in Medicare?
Yes. Beulah Family Clinic Professional Limited Liability Company is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beulah Family Clinic Professional Limited Liability Company?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Beulah Family Clinic Professional Limited Liability Company. 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 Nurse Practitioner (10), Chiropractic (2) and Family Practice (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Beulah Family Clinic Professional Limited Liability Company accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Beulah Family Clinic Professional Limited Liability Company as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Beulah Family Clinic Professional Limited Liability Company was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Beulah Medical Clinic · NPI 1750144150
Clinic/Center organization in Desoto, Texas. Organization record, active in the CMS NPPES registry since January 30, 2024.
## Identity
- **NPI:** 1750144150 (Entity type: Organization)
- **Enumerated:** January 30, 2024
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Beulah Family Clinic Professional Limited Liability Company
- **Organization subpart:** No
- **Authorized official:** Patrick Moneke, ADMINISTRATOR
## Practice location
- **Address:** 1534-A N HAMPTON ROAD, SUITE 100, Desoto, TX 75115-0073
- **Phone:** (469) 585-8129
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Chiropractic (2), Family Practice (2); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750144150) · Data from the CMS NPPES public registry.