Prime Group Medical Clinic LLC
NPI 1629749783ActiveOrganization· Internal Medicine· Mesquite, TX
Internal Medicine in Mesquite, Texas, registered in NPPES in September 2021. The authorized official on file is Jessie Mendiola, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629749783 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2021 |
| Last updated in NPPES | Oct 2, 2026 |
| Certified by provider | Oct 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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