PASSION HEALTH PRIMARY CARE – Internal Medicine Physician, NPI 1306455712
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PASSION HEALTH PRIMARY CARE
230 O CONNOR RIDGE BLVD STE 110
IRVING, TX 750386513
Phone: (214) 666-6259
Fax: (855) 618-2235
Type: Mailing
17350 STATE HIGHWAY 249 STE 220
HOUSTON, TX 770641132
Phone: (214) 666-6259
Fax: (281) 336-1595
Type: Mailing
711 W Lampasas St
Ennis, TX 751194533
Phone: (469) 788-7599
Type: Location
450 N Standridge Blvd Ste 202
Anna, TX 754093443
Phone: (903) 218-0628
Type: Location
1630 W Prosper Trl Ste 430
Prosper, TX 750783742
Phone: (214) 666-6259
Type: Location
3041 Churchill Dr Ste 500
Flower Mound, TX 750225910
Phone: (972) 724-0500
Type: Location
230 O'Connor Ridge Blvd Suite 110
Irving, TX 75038
Phone: (214) 666-6259
Fax: (855) 618-2235
Type: Location
27045 E University Dr Ste 1C
Aubrey, TX 762272746
Phone: (214) 666-6259
Type: Location
606 S Seven Points Dr Ste 10
Seven Points, TX 751439117
Phone: (903) 432-2707
Type: Location
500 S Washington St
Kaufman, TX 751422406
Phone: (469) 361-0009
Type: Location
3224 I 30 Ste 137
Mesquite, TX 751502675
Phone: (214) 666-6259
Type: Location
720 E Park Blvd Ste 106
Plano, TX 750748844
Phone: (217) 666-6259
Type: Location
230 O'CONNOR RIDGE BLVD SUITE 110
IRVING, TX 75038
Phone: (214) 666-6259
Fax: (855) 618-2235
Type: Mailing
6300 STONEWOOD DR STE 200
PLANO, TX 750245281
Phone: (214) 666-6259
Fax: (855) 618-2235
Type: Location
8195 CUSTER ROAD
STE 110
FRISCO, TX 75035
Phone: (214) 666-6259
Fax: (855) 618-2235
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: 2020-09-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (128 days ago).
Enrollment records
1
Earliest due date
2026-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200923000750 | O | Clinic/Group Practice | TX | 2026-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 75038)
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