Organization Active NPI

Primary Care Partners PLLC

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1962283960
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY CARE PARTNERS PLLC
Practice address
5536 Saratoga Blvd
Corpus Christi, TX 78413-2944
Phone
(361) 866-5505
Fax
(361) 866-5572
NPI assigned
Oct 6, 2023
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Arvind G Modak, MDNPI 1215975255
Title
Owner
Phone
(361) 244-0869

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5536 Saratoga Blvd
Corpus Christi, TX 78413-2944

Mailing address

5914 Oso Pkwy
Corpus Christi, TX 78414-6037
Phone (361) 244-0869

Other practice location 1

1315 Santa Fe St Ste 205
Corpus Christi, TX 78404-2240
Phone (361) 866-5505

Other practice location 2

345 S Water St Fl 2
Corpus Christi, TX 78401-2819
Phone (361) 500-0600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231222002432 TX Part B Supplier - Clinic/Group Practice 4486004033 Receives reassigned benefits from 3 practitioners
Practice locations: Corpus Christi, 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
45D2294809Primary Care Partners PLLC5536 Saratoga Blvd, Corpus Christi, TX 78413Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory

Locations

1315 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 208-0461

1315 Santa Fe St
Ste 205
Corpus Christi, TX 78404
Phone (361) 866-5505

Practitioners & affiliated clinicians

Practitioners 8

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": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1962283960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 OSO PKWY",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146037",
            "telephone_number": "361-244-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132944",
            "telephone_number": "361-866-5505",
            "fax_number": "361-866-5572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 Santa Fe St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042240",
            "country_code": "US",
            "telephone_number": "361-866-5505",
            "fax_number": "361-866-5572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 S Water St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784012819",
            "country_code": "US",
            "telephone_number": "361-500-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY CARE PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "MODAK",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-244-0869",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.