KICKAPOO TRADITIONAL TRIBE OF TEXAS
NPI 1821159518
Clinic/Center - Public Health, Federal in Eagle Pass, TX
About Kickapoo Traditional Tribe Of Texas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KICKAPOO TRADITIONAL TRIBE OF TEXAS (NPI 1821159518), doing business as Texas Band Of Kickapoo, is a healthcare organization registered as a public health, federal in Eagle Pass, Texas and active in the NPI registry since December 2006. The organization lists Cynthia Rivera, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 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)
Kickapoo Traditional Tribe Of Texas 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 Kickapoo Traditional Tribe Of Texas, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. 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 Kickapoo Traditional Tribe Of Texas's NPI number?
The NPI number for Kickapoo Traditional Tribe Of Texas is 1821159518. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider was formerly known as Texas Band of Kickapoo.
Where is Kickapoo Traditional Tribe Of Texas located?
Kickapoo Traditional Tribe Of Texas is located at 2192 Rosita Valley Road, Eagle Pass, TX 78852. The listed phone number is (830) 421-5349.
What is Kickapoo Traditional Tribe Of Texas's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.
Is Kickapoo Traditional Tribe Of Texas enrolled in Medicare?
Yes. Kickapoo Traditional Tribe Of Texas is registered in the Medicare PECOS enrollment system.
When is Kickapoo Traditional Tribe Of Texas'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 Kickapoo Traditional Tribe Of Texas?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Kickapoo Traditional Tribe Of Texas, in Internal Medicine, Nurse Practitioner and Pediatric Medicine. 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. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kickapoo Traditional Tribe Of Texas accept?
Health plans from Blue Cross and Blue Shield of Texas list Kickapoo Traditional Tribe Of Texas 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 Kickapoo Traditional Tribe Of Texas was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.
# Kickapoo Traditional Tribe Of Texas · NPI 1821159518
Public Health, Federal organization in Eagle Pass, Texas. Organization record, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1821159518 (Entity type: Organization)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Clinic/Center - Public Health, Federal · taxonomy 261QP0904X
- **Also known as:** Texas Band of Kickapoo (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Cynthia Rivera, OFFICE MANAGER
## Practice location
- **Address:** 2192 ROSITA VALLEY ROAD, Eagle Pass, TX 78852-9752
- **Phone:** (830) 421-5349 · **Fax:** (830) 757-5193
## 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 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Nurse Practitioner (1), Pediatric Medicine (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2026
- **Other identifiers:** Medicaid 200158801 (TX); Other HSZ222 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1821159518) · Data from the CMS NPPES public registry.