Organization Active NPI

Melva Palacios, M.D., PA

Doing business as Palacios Family Medicine

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1013037423
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MELVA PALACIOS, M.D., PA
Doing business as
Palacios Family Medicine
Practice address
2722 W Canton Rd
Edinburg, TX 78539-6632
Phone
(956) 383-4157
Fax
(956) 383-5457
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Marie Portales
Title
Office Manager
Phone
(956) 383-4157

Specialties & licenses 1

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

Addresses

Primary practice location

2722 W Canton Rd
Edinburg, TX 78539-6632

Mailing address

2722 W Canton Rd
Edinburg, TX 78539-6632
Phone (956) 383-4157

Other identifiers 2

IdentifierTypeStateIssuer
0052MYOtherTXBCBS OF TEXAS
175155401MedicaidTX

Other names 1

  • Palacios Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090309000359 TX Part B Supplier - Clinic/Group Practice 7113962903 Receives reassigned benefits from 5 practitioners
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Locations

2722 W Canton Rd
Edinburg, TX 78539
Phone (956) 383-4157

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1013037423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 W CANTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396632",
            "telephone_number": "956-383-4157",
            "fax_number": "956-383-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 W CANTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396632",
            "telephone_number": "956-383-4157",
            "fax_number": "956-383-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVA PALACIOS, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "PORTALES",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-383-4157"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0052MY",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175155401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palacios Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.