PRIME MEDIC, P.A. – Internal Medicine Physician, NPI 1255432829

PRIME MEDIC, P.A. is a healthcare provider. based in Kingwood, Texas. specializing in Internal Medicine Physician. The organization holds a License No. K1393 (TX). The NPI Number for PRIME MEDIC, P.A. is 1255432829

Main info

Organization
Name
PRIME MEDIC, P.A.
NPI
1255432829
Phone
(281) 592-8622
Address
PO BOX 5999
Authorized Official
SREENIVASULU CHERLO CEO M.D.
Enumeration Date
26 September 2006
Last Update Date
20 January 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PRIME MEDIC, P.A.

  • Kingwood Post Office, Greenbelt Trails, Kingwood, Houston, Harris County, Texas, 77345, United States

    KINGWOOD, TX 773255999

    Phone: (281) 592-8622

    Fax: (281) 592-8699

    Type: Mailing

  • 211, College Avenue, Camden Acres, Shelby, Cleveland County, North Carolina, 28152, United States

    CLEVELAND, TX 773274503

    Phone: (281) 592-8622

    Fax: (281) 592-8699

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-09-30 (113 days away).

Enrollment records

1

Earliest due date

2026-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050512000763OClinic/Group PracticeTX2026-09-30

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77325)

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Reviews

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Frequently asked questions

What unique ID ties claims to PRIME MEDIC, P.A.?
NPI 1255432829 is assigned to PRIME MEDIC, P.A. under the national enumeration system.
Is PRIME MEDIC, P.A. active in the national directory?
PRIME MEDIC, P.A.'s public NPI profile is in an active state.
Can you summarize PRIME MEDIC, P.A.'s specialty in plain language?
Clinically, the directory lists PRIME MEDIC, P.A. with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is PRIME MEDIC, P.A.'s primary listing?
We display Kingwood, Texas because that is what the record indicates for PRIME MEDIC, P.A..
How can I contact PRIME MEDIC, P.A.?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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