COMMUNITY MEDICAL CLINIC
NPI 1942674296
Physician Assistant in Irving, TX

Active since November 24, 2015CLIA Certified · 2 labs
916 W 6TH ST, IRVING, TX 75060(214) 570-0006(469) 586-5909 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2024, Dec 1, 2015, Nov 24, 2015 (3 updates tracked since 2015).

About Community Medical Clinic NPPES

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

COMMUNITY MEDICAL CLINIC (NPI 1942674296) is a healthcare organization registered as a physician assistant in Irving, Texas and active in the NPI registry since November 2015. The organization holds 2 active CLIA laboratory certificates and lists Hatshepsut Oshun, Owner, as its authorized official.

NPPES Registry Identity

NPI1942674296
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameDFW COMMUNITY MEDICAL GROUP PLLC
Location Address916 W 6TH STIrving, TX 75060-3874
Mailing Address1901 W Irving BlvdIrving, TX 75061-6823 · (214) 570-0006 · Fax (469) 586-5909
Fax(469) 586-5909
Organization SubpartNo
Authorized OfficialHatshepsut OshunOwner · (267) 242-3404
Enumeration DateNovember 24, 2015
Last NPPES UpdateMarch 5, 20243 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1942674296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP128978 (TX)
916 W 6TH ST, Irving, TX 75060

Other Names 1

Doing Business AsCommunity Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Community Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1295580744
916 W 6TH ST
Irving, TX 75060
(972) 975-5444
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992306542
916 W 6TH ST
Irving, TX 75060
(214) 570-0006
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730799917
2916 INWOOD RD
Dallas, TX 75235
(214) 466-6618
✔ PECOS6.1 mi
Nurse Practitioner
NPI 1558176487
7151 COLLEYVILLE BLVD STE 103
Colleyville, TX 76034
(214) 740-2401
✔ PECOS13 mi
Nurse Practitioner
NPI 1093363723
130 E BARDIN RD STE 108
Arlington, TX 76018
(682) 252-4386
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1629611793
801 N GRAND AVE
Gainesville, TX 76240
(940) 612-8750
✔ PECOS57 mi
Nurse Practitioner
NPI 1861269938
2349 MEDICAL DR
Pecos, TX 79772
(432) 447-3551
✔ PECOS✔ Accepts Medicare398 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 2

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 45D2118117

Dfw Community Medical Group · Irving, TX
Active · expires Nov 16, 2026
CLIA Number45D2118117
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorOshun Oshun
Laboratory Phone(972) 975-5444
Laboratory LocationDfw Community Medical Group916 W 6th St, Irving, TX 75060
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2272258

Dfw Community Medical Group · Dallas, TX
Active · expires Nov 16, 2026
CLIA Number45D2272258
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorHatshepsut Oshun
Laboratory Phone(214) 570-0006
Laboratory LocationDfw Community Medical Group2916 Inwood Rd, Dallas, TX 75232
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 Dfw Community Medical Group PLLC's NPI number?

The NPI number for Dfw Community Medical Group PLLC is 1942674296. It was assigned to this organization in the NPPES registry on November 24, 2015. The provider is doing business as Community Medical Clinic.

Where is Dfw Community Medical Group PLLC located?

Dfw Community Medical Group PLLC is located at 916 W 6th St, Irving, TX 75060. The listed phone number is (214) 570-0006.

What is Dfw Community Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dfw Community Medical Group PLLC enrolled in Medicare?

Yes. Dfw Community Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dfw Community Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Dfw Community Medical Group PLLC. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dfw Community Medical Group PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Dfw Community Medical Group PLLC accept?

Health plans from Cigna Healthcare, Molina Healthcare and WellPoint list Dfw Community Medical Group 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 Dfw Community Medical Group PLLC was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.