SOUTHERN ENDOCRINOLOGY ASSOCIATES
NPI 1811096480
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mesquite, TX
About Southern Endocrinology Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN ENDOCRINOLOGY ASSOCIATES (NPI 1811096480) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Mesquite, Texas and active in the NPI registry since September 2006. The organization holds an CLIA Accreditation certificate valid through February 12, 2027 and lists Sumana Gangi, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Endocrinology Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Southern Endocrinology Associates, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (9)
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 Accreditation 45D1059323
Southern Endocrinology Associates · Mesquite, 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 Southern Endocrinology Associates's NPI number?
The NPI number for Southern Endocrinology Associates is 1811096480. It was assigned to this organization in the NPPES registry on September 21, 2006.
Where is Southern Endocrinology Associates located?
Southern Endocrinology Associates is located at 3500 Ih-30 Buidling D Suite 203, Mesquite, TX 75150. The listed phone number is (972) 682-5700.
What is Southern Endocrinology Associates's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Southern Endocrinology Associates enrolled in Medicare?
Yes. Southern Endocrinology Associates is registered in the Medicare PECOS enrollment system.
When is Southern Endocrinology Associates's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southern Endocrinology Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Southern Endocrinology Associates. 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. The largest specialties are Endocrinology (7), Nurse Practitioner (1) and Registered Dietitian or Nutrition Professional (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Endocrinology Associates hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 45D1059323) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southern Endocrinology Associates accept?
Health plans from Molina Healthcare list Southern Endocrinology Associates 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 Southern Endocrinology Associates was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Southern Endocrinology Associates · NPI 1811096480
Endocrinology, Diabetes & Metabolism organization in Mesquite, Texas. Organization record, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1811096480 (Entity type: Organization)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Organization subpart:** No
- **Authorized official:** Sumana Gangi, DIRECTOR
## Practice location
- **Address:** 3500 IH-30 BUIDLING D, SUITE 203, Mesquite, TX 75150
- **Phone:** (972) 682-5700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Endocrinology (7), Nurse Practitioner (1), Registered Dietitian or Nutrition Professional (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811096480) · Data from the CMS NPPES public registry.