ELIXIR MEDICAL CENTER PLLC
NPI 1801588017
Family Medicine in Dallas, TX
About Elixir Medical Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIXIR MEDICAL CENTER PLLC (NPI 1801588017) is a healthcare organization registered as a family medicine in Dallas, Texas and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Mostafa S Elsakka, Managing Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Elixir Medical Center 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 Elixir Medical Center 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 45D2303642
Elixir Medical Center · Dallas, 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 Elixir Medical Center PLLC's NPI number?
The NPI number for Elixir Medical Center PLLC is 1801588017. It was assigned to this organization in the NPPES registry on May 25, 2023.
Where is Elixir Medical Center PLLC located?
Elixir Medical Center PLLC is located at 15340 Dallas Pkwy Ste 2740, Dallas, TX 75248. The listed phone number is (217) 819-2417.
What is Elixir Medical Center PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elixir Medical Center PLLC enrolled in Medicare?
Yes. Elixir Medical Center PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elixir Medical Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Elixir Medical Center 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 Elixir Medical Center PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2303642) is associated with this NPI, valid through April 28, 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 Elixir Medical Center PLLC was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Elixir Medical Center Pllc · NPI 1801588017
Family Medicine organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since May 25, 2023.
## Identity
- **NPI:** 1801588017 (Entity type: Organization)
- **Enumerated:** May 25, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mostafa Elsakka, MANAGING PHYSICIAN
## Practice location
- **Address:** 15340 DALLAS PKWY STE 2740, Dallas, TX 75248-4664
- **Phone:** (217) 819-2417
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 25, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801588017) · Data from the CMS NPPES public registry.