Las Colinas Physical Medicine PLLC
NPI 1578285755 · Internal Medicine Physician · Irving, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Las Colinas Physical Medicine PLLC is a Internal Medicine Physician organization in Irving, TX (NPI 1578285755).
Provider details
- NPI number
- 1578285755
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gennie Budet, Credentialing Director(702) 462-9729
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-09-14
- Last updated
- 2023-03-16
- Certified
- 2023-03-16
Frequently asked questions
- What is Las Colinas Physical Medicine PLLC's NPI number?
- Las Colinas Physical Medicine PLLC's National Provider Identifier (NPI) is 1578285755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Las Colinas Physical Medicine PLLC?
- Las Colinas Physical Medicine PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Las Colinas Physical Medicine PLLC located?
- Las Colinas Physical Medicine PLLC's practice location on file with NPPES is 122 W John Carpenter Fwy Ste 105, Irving, TX 75039-2024.
- What is Las Colinas Physical Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Las Colinas Physical Medicine PLLC is (972) 378-0383.
- Does Las Colinas Physical Medicine PLLC accept Medicare?
- Las Colinas Physical Medicine 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 Las Colinas Physical Medicine PLLC?
- The authorized official listed on Las Colinas Physical Medicine PLLC's NPPES record is Gennie Budet, Credentialing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Las Colinas Physical Medicine PLLC's NPI active?
- Yes — Las Colinas Physical Medicine PLLC's NPI (1578285755) is active in the NPPES registry as of the last update on 2023-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.