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PRIMARY MEDICINE OF SUNNYVALE PLLC
NPI 1750231007
Family Medicine in Sunnyvale, TX

Active since January 28, 2026CLIA 45D2341658 · Waiver
3635 N BELT LINE RD # 110, SUNNYVALE, TX 75182(214) 217-0403(972) 430-3978 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2026, Jan 30, 2026 (2 updates tracked since 2026).

About Primary Medicine Of Sunnyvale Pllc NPPES

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

PRIMARY MEDICINE OF SUNNYVALE PLLC (NPI 1750231007) is a healthcare organization registered as a family medicine in Sunnyvale, Texas and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Nishant Abraham Koshy, Physician, as its authorized official.

NPPES Registry Identity

NPI1750231007
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY MEDICINE OF SUNNYVALE PLLC
Location Address3635 N BELT LINE RD # 110Sunnyvale, TX 75182-9235
Mailing Address3635 N Belt Line Rd Ste 110Sunnyvale, TX 75182-9235 · (214) 217-0403 · Fax (972) 430-3978
Phone(214) 217-0403
Fax(972) 430-3978
Organization SubpartNo
Authorized OfficialNishant Abraham KoshyPhysician · (214) 735-0403
Enumeration DateJanuary 28, 2026
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1750231007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3635 N BELT LINE RD # 110, Sunnyvale, TX 75182
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Primary Medicine Of Sunnyvale Pllc 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 Primary Medicine Of Sunnyvale PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nishant Koshy
Family Practice
NPI 1982267027
809 GALLAGHER DR STE D
Sherman, TX 75090
(903) 771-2846
✔ PECOS✔ Accepts Medicare59 mi

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 45D2341658

Primary Medicine Of Sunnyvale PLLC · Sunnyvale, TX
Active · expires Apr 6, 2028
CLIA Number45D2341658
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorNishant A. Koshy
Laboratory Phone(214) 735-0403
Laboratory LocationPrimary Medicine Of Sunnyvale PLLC3635 N Belt Line Rd Suite 110, Sunnyvale, TX 75182
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 Primary Medicine Of Sunnyvale PLLC's NPI number?

The NPI number for Primary Medicine Of Sunnyvale PLLC is 1750231007. It was assigned to this organization in the NPPES registry on January 28, 2026.

Where is Primary Medicine Of Sunnyvale PLLC located?

Primary Medicine Of Sunnyvale PLLC is located at 3635 N Belt Line Rd # 110, Sunnyvale, TX 75182. The listed phone number is (214) 217-0403.

What is Primary Medicine Of Sunnyvale PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Primary Medicine Of Sunnyvale PLLC enrolled in Medicare?

Yes. Primary Medicine Of Sunnyvale PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Medicine Of Sunnyvale PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Primary Medicine Of Sunnyvale PLLC. 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 Primary Medicine Of Sunnyvale PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2341658) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Primary Medicine Of Sunnyvale PLLC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.