DFW FAMILY CLINIC
NPI 1811228851
Family Medicine in Grand Prairie, TX
About Dfw Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DFW FAMILY CLINIC (NPI 1811228851) is a healthcare organization registered as a family medicine in Grand Prairie, Texas and active in the NPI registry since January 2010. The organization lists Adila Nighat Siddiqi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
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)
Dfw Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Dfw Family Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Dfw Family Clinic's NPI number?
The NPI number for Dfw Family Clinic is 1811228851. It was assigned to this organization in the NPPES registry on January 14, 2010.
Where is Dfw Family Clinic located?
Dfw Family Clinic is located at 2771 Sherman St, Grand Prairie, TX 75051. The listed phone number is (972) 647-0550.
What is Dfw Family Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dfw Family Clinic enrolled in Medicare?
Yes. Dfw Family Clinic is registered in the Medicare PECOS enrollment system.
When is Dfw Family Clinic'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 October 31, 2026. 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 Dfw Family Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Dfw Family Clinic. 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 Nurse Practitioner (3) and Family Practice (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dfw Family Clinic accept?
Health plans from Molina Healthcare and WellPoint list Dfw Family Clinic 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 Dfw Family Clinic was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dfw Family Clinic · NPI 1811228851
Family Medicine organization in Grand Prairie, Texas. Organization record, active in the CMS NPPES registry since January 14, 2010.
## Identity
- **NPI:** 1811228851 (Entity type: Organization)
- **Enumerated:** January 14, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Adila Siddiqi, OWNER
## Practice location
- **Address:** 2771 SHERMAN ST, Grand Prairie, TX 75051-6016
- **Phone:** (972) 647-0550 · **Fax:** (972) 647-1010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2014
- **Other identifiers:** Other 0076EC (TX); Medicare UPIN H05464 (TX); Medicaid 121398502 (TX); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1811228851) · Data from the CMS NPPES public registry.