Organization Active NPI

Pinnacle Healthcare PLLC

  • Family Medicine Physician
  • Mission, TX
National Provider Identifier
1447826383
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PINNACLE HEALTHCARE PLLC
Practice address
1616 N Conway Ave
Mission, TX 78572-4004
Phone
(956) 580-9966
Fax
(956) 580-1964
NPI assigned
Jun 1, 2021
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Moses Campos, PA-CNPI 1558680009
Title
Owner
Phone
(956) 566-3079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1616 N Conway Ave
Mission, TX 78572-4004

Mailing address

10306 N 27TH LN
McAllen, TX 78504-2188
Phone (956) 566-3079

Other identifiers 1

IdentifierTypeStateIssuer
1558680009MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211013001317 TX Part B Supplier - Clinic/Group Practice 1456759976 Receives reassigned benefits from 1 practitioner
Practice locations: Mission, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0966858Pinnacle Healthcare PLLC Dba Mission Kids Clinic1616 N Conway Ave, Mission, TX 78572ComplianceJun 12, 2028

National Provider Directory

National Provider Directory

Locations

1616 N Conway Ave
Mission, TX 78572
Phone (956) 580-9966

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1447826383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10306 N 27TH LN",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042188",
            "telephone_number": "956-566-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785724004",
            "telephone_number": "956-580-9966",
            "fax_number": "956-580-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-566-3079",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558680009",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.