CARROLLTON FIRST CARE MEDICAL CENTER PLLC
NPI 1851057079
Internal Medicine in Carrollton, TX
About Carrollton First Care Medical Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARROLLTON FIRST CARE MEDICAL CENTER PLLC (NPI 1851057079) is a healthcare organization registered as an internal medicine in Carrollton, Texas and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Jong Yoo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Carrollton First Care Medical Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Carrollton First Care 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 45D2319468
Carrollton First Care Medical Center · Carrollton, 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 Carrollton First Care Medical Center PLLC's NPI number?
The NPI number for Carrollton First Care Medical Center PLLC is 1851057079. It was assigned to this organization in the NPPES registry on November 11, 2021.
Where is Carrollton First Care Medical Center PLLC located?
Carrollton First Care Medical Center PLLC is located at 2625 Old Denton Rd Ste 415, Carrollton, TX 75007. The listed phone number is (972) 242-3361.
What is Carrollton First Care Medical Center PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Carrollton First Care Medical Center PLLC enrolled in Medicare?
Yes. Carrollton First Care Medical Center PLLC is registered in the Medicare PECOS enrollment system.
When is Carrollton First Care Medical Center PLLC'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 March 31, 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 Carrollton First Care Medical Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Carrollton First Care 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 Carrollton First Care Medical Center PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2319468) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Carrollton First Care Medical Center PLLC was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Carrollton First Care Medical Center Pllc · NPI 1851057079
Internal Medicine organization in Carrollton, Texas. Organization record, active in the CMS NPPES registry since November 11, 2021.
## Identity
- **NPI:** 1851057079 (Entity type: Organization)
- **Enumerated:** November 11, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jong Yoo, OWNER
## Practice location
- **Address:** 2625 OLD DENTON RD STE 415, Carrollton, TX 75007-5112
- **Phone:** (972) 242-3361 · **Fax:** (972) 242-5678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851057079) · Data from the CMS NPPES public registry.