KINGSWAY MEDICAL CENTER PLLC
NPI 1851647911
Family Medicine - Geriatric Medicine in El Paso, TX
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
Specialties & Licenses 3
Other Identifiers 1
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)
Kingsway Medical Center Pllc 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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Kingsway Medical Center PLLC, which bills Medicare for the services they deliver. Of these, 4 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.
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, 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 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.
Is Kingsway Medical Center PLLC enrolled in Medicare?
Yes. Kingsway Medical Center PLLC is registered in the Medicare PECOS enrollment system.
When is Kingsway 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 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 Kingsway Medical Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Kingsway Medical Center PLLC, in Family Practice, Nurse Practitioner and Registered Dietitian or Nutrition Professional. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kingsway Medical Center Pllc · NPI 1851647911
Geriatric Medicine organization in El Paso, Texas. Organization record, active in the CMS NPPES registry since July 26, 2012.
## Identity
- **NPI:** 1851647911 (Entity type: Organization)
- **Enumerated:** July 26, 2012
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Adekunle Adedeji, OWNER/PROVIDER
## Practice location
- **Address:** 8623 N LOOP DR STE A, El Paso, TX 79907-4520
- **Phone:** (915) 881-4155
## 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:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1), Registered Dietitian or Nutrition Professional (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2026
- **Other identifiers:** Medicaid 3058117-01 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851647911) · Data from the CMS NPPES public registry.