SWEENY MEDICAL CLINIC – Family Medicine Physician, NPI 1578910774
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SWEENY MEDICAL CLINIC
303 N McKinney St Ste E
Sweeny, TX 774802808
Phone: (979) 647-1265
Fax: (979) 647-1269
Type: Location
200 Medical Center Ct Ste 100
Bay City, TX 774144733
Phone: (979) 245-2421
Fax: (979) 245-6263
Type: Location
303, North McKinney Street, Sweeny, Brazoria County, Texas, 77480, United States
SWEENY, TX 774802808
Phone: (979) 647-1265
Fax: (979) 647-1269
Type: Location
208 N MCKINNEY ST STE 2
SWEENY, TX 774803404
Phone: (979) 548-6783
Fax: (979) 548-1038
Type: Location
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
BAY CITY, TX 774042660
Phone: (979) 245-2421
Fax: (979) 245-6263
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: 2016-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (953 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| O20161011001548 | O | Clinic/Group Practice | TX | 2023-10-31 |
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 77480)
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