NORTH DALLAS MEDICAL GROUP, PLLC
NPI 1790005734
Clinic/Center - Multi-Specialty in Addison, TX
About North Dallas Medical Group, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH DALLAS MEDICAL GROUP, PLLC (NPI 1790005734), doing business as Innovaretx Regenerative & Wellness Clinic, is a healthcare organization registered as a multi-specialty in Addison, Texas and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists Zenia C Ortega, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
North Dallas Medical Group, 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 North Dallas Medical Group, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 45D2324901
North Dallas Medical Group Dba Innovare Tx · Addison, TXFrequently 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 North Dallas Medical Group, PLLC's NPI number?
The NPI number for North Dallas Medical Group, PLLC is 1790005734. It was assigned to this organization in the NPPES registry on June 1, 2010. The provider is doing business as InnovareTx Regenerative & Wellness Clinic.
Where is North Dallas Medical Group, PLLC located?
North Dallas Medical Group, PLLC is located at 16901 Dallas Pkwy Ste 206, Addison, TX 75001. The listed phone number is (214) 233-3094.
What is North Dallas Medical Group, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is North Dallas Medical Group, PLLC enrolled in Medicare?
Yes. North Dallas Medical Group, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Dallas Medical Group, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to North Dallas Medical Group, 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 North Dallas Medical Group, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2324901) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does North Dallas Medical Group, PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list North Dallas Medical Group, PLLC 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 North Dallas Medical Group, PLLC was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# North Dallas Medical Group, Pllc · NPI 1790005734
Multi-Specialty organization in Addison, Texas. Organization record, active in the CMS NPPES registry since June 1, 2010.
## Identity
- **NPI:** 1790005734 (Entity type: Organization)
- **Enumerated:** June 1, 2010
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** InnovareTx Regenerative & Wellness Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Zenia Ortega, PRACTICE MANAGER
## Practice location
- **Address:** 16901 DALLAS PKWY STE 206, Addison, TX 75001-5214
- **Phone:** (214) 233-3094 · **Fax:** (214) 241-1167
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2025
- **Other identifiers:** Other PA02353 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790005734) · Data from the CMS NPPES public registry.