PRIMA MEDICAL GROUP PLLC
NPI 1801787817
General Practice in Stafford, TX
About Prima Medical Group Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMA MEDICAL GROUP PLLC (NPI 1801787817), doing business as Prima Medical Group, is a healthcare organization registered as a general practice in Stafford, Texas and active in the NPI registry since July 2025. The organization lists Iyabo Omidiwura, Enrollment Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 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)
Prima 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 Prima 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.
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 Prima Medical Group PLLC's NPI number?
The NPI number for Prima Medical Group PLLC is 1801787817. It was assigned to this organization in the NPPES registry on July 9, 2025. The provider was formerly known as Prima Medical Group.
Where is Prima Medical Group PLLC located?
Prima Medical Group PLLC is located at 4800 Sugar Grove Blvd Ste 250, Stafford, TX 77477. The listed phone number is (832) 554-6773.
What is Prima Medical Group PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Prima Medical Group PLLC enrolled in Medicare?
Yes. Prima Medical Group PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prima Medical Group PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Prima 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.
What insurance does Prima Medical Group PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Prima 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 Prima Medical Group PLLC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Prima Medical Group Pllc · NPI 1801787817
General Practice organization in Stafford, Texas. Organization record, active in the CMS NPPES registry since July 9, 2025.
## Identity
- **NPI:** 1801787817 (Entity type: Organization)
- **Enumerated:** July 9, 2025
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** Prima Medical Group (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Iyabo Omidiwura, ENROLLMENT MANAGER
## Practice location
- **Address:** 4800 SUGAR GROVE BLVD STE 250, Stafford, TX 77477-2639
- **Phone:** (832) 554-6773
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801787817) · Data from the CMS NPPES public registry.