Organization Active NPI

Communitymed PLLC

  • Urgent Care Clinic/Center
  • Melissa, TX
National Provider Identifier
1821417072
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COMMUNITYMED PLLC
Practice address
3591 McKinney St
Suite 200
Melissa, TX 75454-9571
Phone
(972) 464-1611
Fax
(972) 464-1611
NPI assigned
Apr 15, 2014
Last updated
Jun 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Dr. Gregory Blomquist, MDNPI 1962625087
Title
Managing Member
Phone
(469) 360-3498

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

3591 McKinney St
Suite 200
Melissa, TX 75454-9571

Mailing address

16775 Addison Rd Ste 200
Addison, TX 75001-5654
Phone (972) 464-1611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140722002029 TX Part B Supplier - Clinic/Group Practice 9830315126 Receives reassigned benefits from 74 practitioners
Practice locations: Aubrey, TX; Wichita Falls, TX; Southlake, TX; Prosper, TX; Princeton, TX; Midlothian, TX; Melissa, TX; McKinney, TX…

National Provider Directory

National Provider Directory

Locations

3600 FM 407 E
Ste 109
Argyle, TX 76226

3600 FM 407 E
Ste 2200
Argyle, TX 76226

6220 US 287 Hwy
#112
Arlington, TX 76001
Phone (817) 778-9883

6320 US 287 Hwy
Ste 112
Arlington, TX 76001
Phone (817) 778-9883

703 S Highway 377
Ste A
Aubrey, TX 76227
Phone (940) 228-0721

3600 FM 407 E
Bartonville, TX 76226
Phone (940) 220-7510

11350 US Highway 380
Ste 100A
Cross Roads, TX 76227
Phone (844) 464-1611

2339 W Mockingbird Ln
#100
Dallas, TX 75235
Phone (469) 945-7290

5649 Lebanon Rd
#200
Frisco, TX 75034
Phone (972) 573-3903

5649 Lebanon Rd
Ste 200
Frisco, TX 75034

2432 Avondale Haslet Rd
Ste A
Haslet, TX 76052
Phone (817) 928-3149

295 FM 156 S
Ste 300
Haslet, TX 76052
Phone (817) 779-4382

295 FM 156 S
Ste 300A
Haslet, TX 76052
Phone (817) 779-4382

8200 N MacArthur Blvd
#200
Irving, TX 75063
Phone (972) 521-8093

201 W Kennedale Pkwy
#1
Kennedale, TX 76060
Phone (972) 464-1611

2619 Sentinel Way
Ste 200
Melissa, TX 75454
Phone (469) 649-8905

3591 McKinney St
Ste 400A
Melissa, TX 75454
Phone (729) 464-1611

211 E FM 544
Ste 401
Murphy, TX 75094
Phone (972) 200-3199

670 W Princeton Dr
Ste 400A
Princeton, TX 75407
Phone (972) 699-5250

3210 Midwestern Pkwy
Wichita Falls, TX 76308

3210 Midwestern Pkwy
Ste 500A
Wichita Falls, TX 76308
Phone (940) 488-4616

Practitioners & affiliated clinicians

Practitioners 76

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.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1821417072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16775 ADDISON RD STE 200",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015654",
            "telephone_number": "972-464-1611",
            "fax_number": "972-464-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 MCKINNEY ST",
            "address_2": "SUITE 200",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754549571",
            "telephone_number": "972-464-1611",
            "fax_number": "972-464-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITYMED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2021-06-03",
        "certification_date": "2021-04-03",
        "status": "A",
        "authorized_official_last_name": "BLOMQUIST",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-360-3498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melissa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.