Prime MD Geriatrics, PLLC
NPI 1487156139 · Geriatric Medicine (Internal Medicine) Physician · Coppell, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime MD Geriatrics, PLLC is a Geriatric Medicine (Internal Medicine) Physician organization in Coppell, TX (NPI 1487156139).
Provider details
- NPI number
- 1487156139
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Divyaswapnika Javvaji, Manager(972) 393-1699
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-03-07
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Frequently asked questions
- What is Prime MD Geriatrics, PLLC's NPI number?
- Prime MD Geriatrics, PLLC's National Provider Identifier (NPI) is 1487156139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime MD Geriatrics, PLLC?
- Prime MD Geriatrics, PLLC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Prime MD Geriatrics, PLLC located?
- Prime MD Geriatrics, PLLC's practice location on file with NPPES is 452 State Highway 121 Unit 130, Coppell, TX 75019-4275.
- What is Prime MD Geriatrics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prime MD Geriatrics, PLLC is (972) 393-1699.
- Does Prime MD Geriatrics, PLLC accept Medicare?
- Prime MD Geriatrics, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prime MD Geriatrics, PLLC?
- The authorized official listed on Prime MD Geriatrics, PLLC's NPPES record is Divyaswapnika Javvaji, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime MD Geriatrics, PLLC's NPI active?
- Yes — Prime MD Geriatrics, PLLC's NPI (1487156139) is active in the NPPES registry as of the last update on 2024-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.