FALA MEDICAL CLINIC PLLC
NPI 1972134054
Clinic/Center - Primary Care in Surprise, AZ
About Fala Medical Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FALA MEDICAL CLINIC PLLC (NPI 1972134054) is a healthcare organization registered as a primary care in Surprise, Arizona and active in the NPI registry since January 2020. The organization lists Freschta Mirzakhel, Practice Adminisitrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fala Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Fala Medical Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Surprise, AZ 85374
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fala Medical Clinic PLLC's NPI number?
The NPI number for Fala Medical Clinic PLLC is 1972134054. It was assigned to this organization in the NPPES registry on January 28, 2020.
Where is Fala Medical Clinic PLLC located?
Fala Medical Clinic PLLC is located at 14749 W Mountain View Blvd Ste 138, Surprise, AZ 85374. The listed phone number is (623) 738-0440.
What is Fala Medical Clinic PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Fala Medical Clinic PLLC enrolled in Medicare?
Yes. Fala Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fala Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Fala Medical Clinic PLLC, in Internal Medicine and Nurse Practitioner. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fala Medical Clinic PLLC was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Fala Medical Clinic Pllc · NPI 1972134054
Primary Care organization in Surprise, Arizona. Organization record, active in the CMS NPPES registry since January 28, 2020.
## Identity
- **NPI:** 1972134054 (Entity type: Organization)
- **Enumerated:** January 28, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Freschta Mirzakhel, PRACTICE ADMINISITRATOR
## Practice location
- **Address:** 14749 W MOUNTAIN VIEW BLVD STE 138, Surprise, AZ 85374-2704
- **Phone:** (623) 738-0440 · **Fax:** (480) 374-8051
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2023
- **Other identifiers:** Medicaid 546663 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1972134054) · Data from the CMS NPPES public registry.