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

NPI Status: Active since July 26, 2012

Contact Information

8623 N LOOP DR STE A
EL PASO, TX
ZIP 79907
Phone: (915) 881-4155

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  • Organization
  • Family Medicine
  • Geriatric Medicine
  • Accepts Insurance
  • CLIA Number: 45D2061344
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-25-2027

About KINGSWAY MEDICAL CENTER PLLC

This page provides the complete NPI Profile along with additional information for Kingsway Medical Center Pllc, a primary care provider established in El Paso, Texas operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1851647911 assigned on July 2012. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an organization and their NPI record was last updated April 2026. Kingsway Medical Center Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Adekunle Adedeji M.d. (Owner/provider)

NPI
1851647911
Provider Name
KINGSWAY MEDICAL CENTER PLLC
Entity Type
Organization
Location Address
8623 N LOOP DR STE A EL PASO, TX 79907
Location Phone
(915) 881-4155
Mailing Address
8623 N LOOP DR STE A EL PASO, TX 79907
Mailing Phone
(915) 881-4155
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2012
Last Update Date
04-08-2026
Code Navigator

A primary care provider (PCP) like Kingsway Medical Center Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

N3416 (TX)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Imperial Preferred Bronze - HMO
  • Imperial Preferred Gold - HMO
  • Imperial Preferred Gold Zero - HMO
  • Imperial Preferred Silver - HMO
  • Imperial Standard Bronze - HMO
  • Imperial Standard Gold - HMO
  • Imperial Standard Silver - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ADEKUNLE ADEDEJI M.D.

Authorized Official Title
OWNER/PROVIDER
Authorized Official Phone
(210) 601-2367

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3058117-01MEDICAID (05)TX 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2061344
Facility Type
Physician Office
Certificate Effective Date
June 26, 2025
Certificate Expiration Date
June 25, 2027
Laboratory Director
ADEKUNLE ADEDEJI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kingsway Medical Center Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1851647911, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 0 + 1 + 1 + 2 + 4 + 1 + 4 + 9 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1851647911.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine (Geriatric Medicine)
8623 N LOOP DR STE A
EL PASO, TX 79907
Family Medicine
8623 N LOOP DR STE A
EL PASO, TX 79907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851647911, enumerated as an "organization" on July 26, 2012.

The provider is located at 8623 N LOOP DR STE A EL PASO, TX 79907 and the phone number is (915) 881-4155.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.

The provider might be accepting Accepts: Imperial Insurance Companies, Inc., Molina. Please consult your insurance carrier or call the provider to verify.