MEDINA PRIMARY CARE
NPI 1922544592
Clinic/Center in Plano, TX
About Medina Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDINA PRIMARY CARE (NPI 1922544592) is a healthcare organization registered as a clinic/center in Plano, Texas and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Mir Majid Ali, Physican Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted 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 45D2142821
Medina Primary Care PLLC Dba Medina Primary Care · Plano, TXOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Medina Primary Care PLLC's NPI number?
The NPI number for Medina Primary Care PLLC is 1922544592. It was assigned to this organization in the NPPES registry on January 6, 2017. The provider is doing business as Medina Primary Care.
Where is Medina Primary Care PLLC located?
Medina Primary Care PLLC is located at 4013 14th St 401, Plano, TX 75074. The listed phone number is (972) 456-9292.
What is Medina Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Does Medina Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2142821) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Medina Primary Care PLLC accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Medina Primary Care 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 Medina Primary Care PLLC was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Medina Primary Care · NPI 1922544592
Clinic/Center organization in Plano, Texas. Organization record, active in the CMS NPPES registry since January 6, 2017.
## Identity
- **NPI:** 1922544592 (Entity type: Organization)
- **Enumerated:** January 6, 2017
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Medina Primary Care Pllc
- **Organization subpart:** No
- **Authorized official:** Mir Ali, PHYSICAN OWNER
## Practice location
- **Address:** 4013 14TH ST, 401, Plano, TX 75074-7125
- **Phone:** (972) 456-9292 · **Fax:** (972) 456-9393
## Record status
- **NPPES last updated:** December 30, 2019
- **Other identifiers:** Medicaid 368903601 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922544592) · Data from the CMS NPPES public registry.