KAWEAH HEALTH MEDICAL CLINIC - BEN MADDOX
NPI 1881984706
Clinic/Center - Primary Care in Visalia, CA
About Kaweah Health Medical Clinic - Ben Maddox NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAWEAH HEALTH MEDICAL CLINIC - BEN MADDOX (NPI 1881984706) is a healthcare organization registered as a primary care in Visalia, California and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Malinda Tupper, Srvp/chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Kaweah Health Medical Clinic - Ben Maddox is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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
182Medicare enrollment records show 182 clinicians reassign Medicare billing to Kaweah Health Medical Clinic - Ben Maddox, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 108 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 182Source: 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 05D2027993
Kaweah Health Medical Group- Ben Maddox · Visalia, CAFrequently 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 Kaweah Delta Health Care District's NPI number?
The NPI number for Kaweah Delta Health Care District is 1881984706. It was assigned to this organization in the NPPES registry on April 12, 2011. The provider is doing business as Kaweah Health Medical Clinic - Ben Maddox.
Where is Kaweah Delta Health Care District located?
Kaweah Delta Health Care District is located at 1110 S Ben Maddox Way, Visalia, CA 93292. The listed phone number is (559) 624-4800.
What is Kaweah Delta Health Care District's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Kaweah Delta Health Care District enrolled in Medicare?
Yes. Kaweah Delta Health Care District is registered in the Medicare PECOS enrollment system.
When is Kaweah Delta Health Care District'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 (California, Clinic/Group Practice) is due for revalidation by November 30, 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 Kaweah Delta Health Care District?
According to the CMS Revalidation Reassignment List (October 2026 release), 182 clinicians in 26 Medicare specialties reassign their Medicare billing to Kaweah Delta Health Care District. 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. The largest specialties are Nurse Practitioner (58), Family Practice (21) and Diagnostic Radiology (14). Of these, 1 practice at this address and 108 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kaweah Delta Health Care District hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2027993) is associated with this NPI, valid through August 4, 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 Kaweah Delta Health Care District was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kaweah Health Medical Clinic - Ben Maddox · NPI 1881984706
Primary Care organization in Visalia, California. Organization record, active in the CMS NPPES registry since April 12, 2011.
## Identity
- **NPI:** 1881984706 (Entity type: Organization)
- **Enumerated:** April 12, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Kaweah Delta Health Care District
- **Organization subpart:** Yes (part of Kaweah Delta Health Care District)
- **Authorized official:** Malinda Tupper, SRVP/CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 1110 S BEN MADDOX WAY, Visalia, CA 93292-3643
- **Phone:** (559) 624-4800 · **Fax:** (559) 635-6100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 182 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (58), Family Practice (21), Diagnostic Radiology (14); 1 practice at this address and 108 within 10 miles; [full list](https://npiprofile.com/npi/1881984706/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881984706) · Data from the CMS NPPES public registry.