Prime Group Medical Clinic LLC
NPI 1629749783 · Internal Medicine Physician · Mesquite, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Group Medical Clinic LLC is a Internal Medicine Physician organization in Mesquite, TX (NPI 1629749783).
Provider details
- NPI number
- 1629749783
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessie Mendiola, Manager(469) 438-4493
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
4 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
Other names (DBA / former)
- Doing business as
- Prime Group Medical Clinic
- Doing business as
- Prime Group Medical Clinic
Registry dates
- Enumerated
- 2021-09-27
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Frequently asked questions
- What is Prime Group Medical Clinic LLC's NPI number?
- Prime Group Medical Clinic LLC's National Provider Identifier (NPI) is 1629749783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Group Medical Clinic LLC?
- Prime Group Medical Clinic LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prime Group Medical Clinic LLC located?
- Prime Group Medical Clinic LLC's practice location on file with NPPES is 3224 I 30 Ste 148, Mesquite, TX 75150-2693.
- What is Prime Group Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Group Medical Clinic LLC is (469) 438-4493.
- Does Prime Group Medical Clinic LLC accept Medicare?
- Prime Group Medical Clinic LLC 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 Group Medical Clinic LLC?
- The authorized official listed on Prime Group Medical Clinic LLC's NPPES record is Jessie Mendiola, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Group Medical Clinic LLC's NPI active?
- Yes — Prime Group Medical Clinic LLC's NPI (1629749783) is active in the NPPES registry as of the last update on 2023-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.