Aledo Family Medicine – Family Medicine Physician, NPI 1912379322

Aledo Family Medicine is a healthcare provider. based in Aledo, Texas. specializing in Family Medicine Physician. The organization holds a License No. J1940 (TX). The NPI Number for Aledo Family Medicine is 1912379322

Main info

Organization
Name
Aledo Family Medicine
NPI
1912379322
Phone
(817) 441-7181
Address
317 N FM 1187
Authorized Official
DR. SHAUN HARDING KRETZSCHMAR OWNER/PHYSICIAN D.O.
Enumeration Date
25 October 2015
Last Update Date
28 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:10State licenses:2Digital endpointsUpdated within 12 months

Provider Addresses for Aledo Family Medicine

  • 317 N FM 1187

    ALEDO, TX 760084200

    Phone: (817) 441-7181

    Fax: (817) 441-7893

    Mailing address matches the actual address.

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: 2016-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-08-31 (646 days ago).

Enrollment records

1

Earliest due date

2024-08-31

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
O20160311000109OClinic/Group PracticeTX2024-08-31

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.

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 76008)

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Reviews

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Frequently asked questions

What is the standard ID for Aledo Family Medicine in the U.S.?
In the U.S., Aledo Family Medicine is identified by NPI 1912379322.
Does the public listing show Aledo Family Medicine as active?
Aledo Family Medicine's NPI record reflects an active status in NPPES.
What type of care does Aledo Family Medicine provide?
Aledo Family Medicine's profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Aledo Family Medicine tied to Aledo, Texas?
If you are local to Aledo, Texas, Aledo Family Medicine may be relevant to your search.
Why is information missing for Aledo Family Medicine?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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