KINGSWAY MEDICAL CENTER PLLC – Geriatric Medicine (Family Medicine) Physician, NPI 1851647911
Geriatric Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KINGSWAY MEDICAL CENTER PLLC
1030 N ZARAGOZA RD
SUITE X
EL PASO, TX 799071863
Phone: (915) 881-4155
Fax: (915) 881-4172
Type: Mailing
1030 N Zaragoza Rd
Suite x
El Paso, TX 799071863
Phone: (915) 881-4155
Fax: (915) 881-4172
Type: Location
8623 N LOOP DR STE A
EL PASO, TX 799074520
Phone: (915) 881-4155
Fax: (915) 881-4172
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: 2024-06-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (40 days ago).
Enrollment records
3
Earliest due date
2026-04-30
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 |
|---|---|---|---|---|
| O20120809000429 | O | Clinic/Group Practice | TX | TBD |
| O20190124002644 | O | Physician - Internal Medicine | TX | 2026-04-30 |
| O20240625002442 | O | Clinic/Group Practice | NM | 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 79907)
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