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DIAMONDCREST MEDICAL CENTER
NPI 1760256879
Internal Medicine in Prosper, TX

Active since November 09, 2023CLIA 45D2293883 · Waiver
291 S PRESTON RD STE 1120, PROSPER, TX 75078(469) 481-6660 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 9, 2024, Nov 25, 2023, Nov 9, 2023 (3 updates tracked since 2023).

About Diamondcrest Medical Center NPPES

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

DIAMONDCREST MEDICAL CENTER (NPI 1760256879) is a healthcare organization registered as an internal medicine in Prosper, Texas and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Arinola Odumusi, Owner, as its authorized official.

NPPES Registry Identity

NPI1760256879
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDIAMONDCREST MEDICAL CENTER
Location Address291 S PRESTON RD STE 1120Prosper, TX 75078-1913
Mailing Address291 S Preston Rd Ste 1120Prosper, TX 75078-1913
Phone(469) 481-6660
Organization SubpartNo
Authorized OfficialArinola OdumusiOwner · (469) 481-6660
Enumeration DateNovember 9, 2023
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1760256879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
291 S PRESTON RD STE 1120, Prosper, TX 75078
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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)

Diamondcrest Medical Center 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 Diamondcrest Medical Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Arinola Odumusi, M.D.
Internal Medicine
NPI 1447602834
291 S PRESTON RD STE 1120
Prosper, TX 75078
(469) 481-6660
✔ 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 45D2293883

Diamondcrest Medical Center · Prosper, TX
Active · expires Nov 15, 2027
CLIA Number45D2293883
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorArinola Odumusi
Laboratory Phone(469) 900-2088
Laboratory LocationDiamondcrest Medical Center291 S Preston Rd Ste 1120, Prosper, TX 75078
CLIA data matches this NPI record on: Address Name
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 Diamondcrest Medical Center's NPI number?

The NPI number for Diamondcrest Medical Center is 1760256879. It was assigned to this organization in the NPPES registry on November 9, 2023.

Where is Diamondcrest Medical Center located?

Diamondcrest Medical Center is located at 291 S Preston Rd Ste 1120, Prosper, TX 75078. The listed phone number is (469) 481-6660.

What is Diamondcrest Medical Center's specialty?

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

Is Diamondcrest Medical Center enrolled in Medicare?

Yes. Diamondcrest Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diamondcrest Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Diamondcrest Medical Center. 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 Diamondcrest Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2293883) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Diamondcrest Medical Center accept?

Health plans from Molina Healthcare list Diamondcrest Medical Center 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 Diamondcrest Medical Center was last updated on February 9, 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.