NEXTGEN RPM – Family Medicine Physician, NPI 1336674316
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NEXTGEN RPM
1901 W 20TH ST
PLAINVIEW, TX 790722009
Phone: (972) 807-3696
Fax: (972) 474-9141
Type: Location
11811 Shaker Blvd Ste 204
Cleveland, OH 441201927
Phone: (972) 807-3696
Type: Location
1869, Halifax Street, Roanoke, Denton County, Texas, 76262, United States
ROANOKE, TX 762621405
Phone: (972) 807-3696
Type: Mailing
5902 US HIGHWAY 87
DUMAS, TX 790296830
Phone: (972) 807-3696
Fax: (972) 474-9141
Type: Mailing
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: 2025-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (891 days ago).
Enrollment records
24
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| O20181222000096 | O | Clinic/Group Practice | TX | 2023-12-31 |
| O20191206000100 | O | Clinic/Group Practice | CO | TBD |
| O20201203001484 | O | Clinic/Group Practice | NY | 2026-03-31 |
| O20210316001017 | O | Clinic/Group Practice | CA | 2026-05-31 |
| O20220113001998 | O | Clinic/Group Practice | FL | TBD |
| O20220603001739 | O | Clinic/Group Practice | TN | TBD |
| O20221207002335 | O | Clinic/Group Practice | NJ | TBD |
| O20221209001058 | O | Clinic/Group Practice | OK | TBD |
| O20230412000619 | O | Clinic/Group Practice | NM | TBD |
| O20230519001945 | O | Clinic/Group Practice | AL | TBD |
| O20230523002537 | O | Clinic/Group Practice | MD | TBD |
| O20230523002542 | O | Clinic/Group Practice | CT | TBD |
| O20230523003482 | O | Clinic/Group Practice | IL | TBD |
| O20230524000427 | O | Clinic/Group Practice | AZ | TBD |
| O20230602001238 | O | Clinic/Group Practice | AR | TBD |
| O20230626000722 | O | Clinic/Group Practice | IN | TBD |
| O20230727000405 | O | Clinic/Group Practice | GA | TBD |
| O20230808002081 | O | Clinic/Group Practice | OH | TBD |
| O20231009001250 | O | Clinic/Group Practice | VA | TBD |
| O20231104000181 | O | Clinic/Group Practice | MA | TBD |
| O20241015002878 | O | Clinic/Group Practice | MS | TBD |
| O20241015003668 | O | Clinic/Group Practice | MI | TBD |
| O20241231001744 | O | Clinic/Group Practice | LA | TBD |
| O20250124000114 | O | Clinic/Group Practice | NH | TBD |
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 79072)
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