STONEBRIDGE ADULT MEDICINE PA
NPI 1922263565
Internal Medicine in Frisco, TX

Active since July 23, 2008CLIA 45D1102562 · Waiver
3550 PARKWOOD BLVD, STE 100, FRISCO, TX 75034(214) 618-9715(214) 618-9716 Get Directions Write a Review

NPPES record last updated: March 4, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stonebridge Adult Medicine Pa NPPES

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

STONEBRIDGE ADULT MEDICINE PA (NPI 1922263565) is a healthcare organization registered as an internal medicine in Frisco, Texas and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Hui Paul Wang, Owner, as its authorized official.

NPPES Registry Identity

NPI1922263565
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTONEBRIDGE ADULT MEDICINE PA
Location Address3550 PARKWOOD BLVD, STE 100Frisco, TX 75034-1903
Mailing Address3550 Parkwood Blvd, Ste 100Frisco, TX 75034-1903 · (214) 618-9715 · Fax (214) 618-9716
Fax(214) 618-9716
Organization SubpartNo
Authorized OfficialHui Paul WangOwner · (972) 415-2249
Enumeration DateJuly 23, 2008
Last NPPES UpdateMarch 4, 2009
✔ NPI 1922263565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M0601
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3550 PARKWOOD BLVD, Frisco, TX 75034

Other Identifiers 2

Other0073RZTX · Bluecross Blueshield
Medicare PIN00Z896TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Stonebridge Adult Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20081111000390Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stonebridge Adult Medicine PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1356341465
3010 LEGACY DR STE 210 SUITE 100
Frisco, TX 75034
(214) 618-9715
✔ PECOS1.5 mi

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 45D1102562

Stonebridge Adult Medicine, PA · Frisco, TX
Active · expires Jul 20, 2027
CLIA Number45D1102562
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorHui P. Wang
Laboratory Phone(214) 618-9715
Laboratory LocationStonebridge Adult Medicine, PA3010 Legacy Drive, Suite 210, Frisco, TX 75034
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Stonebridge Adult Medicine PA's NPI number?

The NPI number for Stonebridge Adult Medicine PA is 1922263565. It was assigned to this organization in the NPPES registry on July 23, 2008.

Where is Stonebridge Adult Medicine PA located?

Stonebridge Adult Medicine PA is located at 3550 Parkwood Blvd Ste 100, Frisco, TX 75034. The listed phone number is (214) 618-9715.

What is Stonebridge Adult Medicine PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stonebridge Adult Medicine PA enrolled in Medicare?

Yes. Stonebridge Adult Medicine PA is registered in the Medicare PECOS enrollment system.

When is Stonebridge Adult Medicine PA'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 January 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 Stonebridge Adult Medicine PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Stonebridge Adult Medicine PA. 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 Stonebridge Adult Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1102562) is associated with this NPI, valid through July 20, 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 Stonebridge Adult Medicine PA was last updated on March 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.