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MATAGORDA FAMILY PRACTICE, PLLC
NPI 1962825703
Family Medicine in Bay City, TX

Active since January 30, 2014CLIA 45D2071660 · Waiver
2205 AVENUE K, BAY CITY, TX 77414(979) 323-9752(979) 323-9757 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1962825703
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMATAGORDA FAMILY PRACTICE, PLLC
Location Address2205 AVENUE KBay City, TX 77414-5128
Mailing AddressPo Box 2660Bay City, TX 77404-2660 · (979) 323-9752 · Fax (979) 323-9757
Phone(979) 323-9752
Fax(979) 323-9757
Organization SubpartNo
Authorized OfficialMohammed DadaOwner · (979) 323-9752
Enumeration DateJanuary 30, 2014
Last NPPES UpdateFebruary 1, 2022
NPPES CertifiedFebruary 1, 2022
✔ NPI 1962825703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2205 AVENUE K, Bay City, TX 77414
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Other Identifiers 1

Medicaid361644301TX

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 45D2071660

Matagorda Family Practice · Bay City, TX
Active · expires Jan 15, 2028
CLIA Number45D2071660
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorBruce A. Barker
Laboratory Phone(979) 323-9752
Laboratory LocationMatagorda Family Practice2205 Avenue K, Bay City, TX 77414
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELEINE TAYLOR ADAMS NP
Nurse Practitioner (Family)
2205 AVENUE K
BAY CITY, TX 77414
Matagorda County (979) 356-2836
DR. BRUCE ALAN BARKER DO
Family Medicine
2205 AVENUE K
BAY CITY, TX 77414
Matagorda County (979) 323-9752
BARBARA KAY HAYES APN
Nurse Practitioner (Family)
2205 AVENUE K
BAY CITY, TX 77414
Matagorda County (979) 323-9752
MRS. BELMA HINOJASA CRUZ FNP-C
Nurse Practitioner (Family)
2205 AVENUE K
BAY CITY, TX 77414
Matagorda County (979) 323-9752
MCKENZIE ANNE JANAK MSN, APRN, FNP-C
Nurse Practitioner (Family)
2205 AVENUE K
BAY CITY, TX 77414
Matagorda County (979) 323-9752

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 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.

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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer 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.