THE KINGSLEY CLINIC PLLC
NPI 1770143315
Internal Medicine in Dallas, TX
About The Kingsley Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE KINGSLEY CLINIC PLLC (NPI 1770143315) is a healthcare organization registered as an internal medicine in Dallas, Texas and active in the NPI registry since June 2019. The organization lists James Ralph Kingsley, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Kingsley Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to The Kingsley Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Kingsley Clinic PLLC's NPI number?
The NPI number for Kingsley Clinic PLLC is 1770143315. It was assigned to this organization in the NPPES registry on June 17, 2019. The provider is doing business as The Kingsley Clinic PLLC.
Where is Kingsley Clinic PLLC located?
Kingsley Clinic PLLC is located at 14180 Dallas Pkwy Ste 620, Dallas, TX 75254. The listed phone number is (530) 305-7637.
What is Kingsley Clinic PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kingsley Clinic PLLC enrolled in Medicare?
Yes. Kingsley Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kingsley Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to Kingsley Clinic 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kingsley Clinic PLLC was last updated on January 31, 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.
# The Kingsley Clinic Pllc · NPI 1770143315
Internal Medicine organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since June 17, 2019.
## Identity
- **NPI:** 1770143315 (Entity type: Organization)
- **Enumerated:** June 17, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Kingsley Clinic Pllc
- **Organization subpart:** No
- **Authorized official:** James Kingsley, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 14180 DALLAS PKWY STE 620, Dallas, TX 75254-4363
- **Phone:** (530) 305-7637
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2024
- **Other identifiers:** Other R2380 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1770143315) · Data from the CMS NPPES public registry.