MATAGORDA FAMILY PRACTICE, PLLC
NPI 1962825703
Family Medicine in Bay City, TX
About Matagorda Family Practice, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATAGORDA FAMILY PRACTICE, PLLC (NPI 1962825703) is a healthcare organization registered as a family medicine in Bay City, Texas and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Mohammed Dada, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Matagorda Family Practice, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Matagorda Family Practice, PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 45D2071660
Matagorda Family Practice · Bay City, TXFrequently 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 Matagorda Family Practice, PLLC's NPI number?
The NPI number for Matagorda Family Practice, PLLC is 1962825703. It was assigned to this organization in the NPPES registry on January 30, 2014.
Where is Matagorda Family Practice, PLLC located?
Matagorda Family Practice, PLLC is located at 2205 Avenue K, Bay City, TX 77414. The listed phone number is (979) 323-9752.
What is Matagorda Family Practice, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Matagorda Family Practice, PLLC enrolled in Medicare?
Yes. Matagorda Family Practice, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Matagorda Family Practice, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Matagorda Family Practice, 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. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Matagorda Family Practice, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2071660) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Matagorda Family Practice, PLLC accept?
Health plans from WellPoint list Matagorda Family Practice, 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 Matagorda Family Practice, PLLC was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Matagorda Family Practice, Pllc · NPI 1962825703
Family Medicine organization in Bay City, Texas. Organization record, active in the CMS NPPES registry since January 30, 2014.
## Identity
- **NPI:** 1962825703 (Entity type: Organization)
- **Enumerated:** January 30, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mohammed Dada, OWNER
## Practice location
- **Address:** 2205 AVENUE K, Bay City, TX 77414-5128
- **Phone:** (979) 323-9752 · **Fax:** (979) 323-9757
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2022
- **Other identifiers:** Medicaid 361644301 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962825703) · Data from the CMS NPPES public registry.