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KINGSWAY MEDICAL CENTER PLLC
NPI 1851647911
Family Medicine - Geriatric Medicine in El Paso, TX

Active since July 26, 2012CLIA 45D2061344 · Waiver
8623 N LOOP DR STE A, EL PASO, TX 79907(915) 881-4155 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2026, May 12, 2025, May 15, 2023 and 1 more (4 updates tracked since 2016).

About Kingsway Medical Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGSWAY MEDICAL CENTER PLLC (NPI 1851647911) is a healthcare organization registered as a geriatric medicine in El Paso, Texas and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through June 25, 2027 and lists Adekunle Adedeji, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1851647911
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameKINGSWAY MEDICAL CENTER PLLC
Location Address8623 N LOOP DR STE AEl Paso, TX 79907-4520
Mailing Address8623 N Loop Dr Ste AEl Paso, TX 79907-4520 · (915) 881-4155 · Fax (915) 881-4172
Phone(915) 881-4155
Organization SubpartNo
Authorized OfficialAdekunle AdedejiOwner/provider · (210) 601-2367
Enumeration DateJuly 26, 2012
Last NPPES UpdateApril 8, 20264 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1851647911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedFamily MedicineTaxonomy 207Q00000X · License N3416 (TX)
8623 N LOOP DR STE A, El Paso, TX 79907
Open in Google Maps ↗

Other Identifiers 1

Medicaid3058117-01TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Molina Healthcare.Insurance ›

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 45D2061344

Kingsway Medical Center, PLLC · El Paso, TX
Active · expires Jun 25, 2027
CLIA Number45D2061344
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorAdekunle Adedeji
Laboratory Phone(915) 881-4155
Laboratory LocationKingsway Medical Center, PLLC8623 N Loop Dr,ste A, El Paso, TX 79907
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ADEKUNLE ADEDAYO ADEDEJI M.D.
Family Medicine (Geriatric Medicine)
8623 N LOOP DR STE A
EL PASO, TX 79907
El Paso County (915) 881-4155
DOMINION MEDICAL SERVICES, PLLC
Family Medicine
8623 N LOOP DR STE A
EL PASO, TX 79907
El Paso County (915) 881-4155

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 Kingsway Medical Center PLLC's NPI number?

The NPI number for Kingsway Medical Center PLLC is 1851647911. It was assigned to this organization in the NPPES registry on July 26, 2012.

Where is Kingsway Medical Center PLLC located?

Kingsway Medical Center PLLC is located at 8623 N Loop Dr Ste A, El Paso, TX 79907. The listed phone number is (915) 881-4155.

What is Kingsway Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does Kingsway Medical Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2061344) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kingsway Medical Center PLLC accept?

Health plans from Imperial Insurance Companies, Inc. and Molina Healthcare list Kingsway Medical Center 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 Kingsway Medical Center PLLC was last updated on April 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.