Jerry Liles, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F1749 Issued in TX

Practice address

1009 E 6TH St
Alice, TX 78332-4657

Phone

(361) 668-8888

NPI assigned

Jul 17, 2006

Last updated

Dec 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conviva Medical Center Management of Texas, P.a.Group PAC ID 8729302278, 146 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nursing Services and Consultants of Laredo Home health agency, Laredo, TX, CCN 677735

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Networks

• TX HMO

Interoperability endpoints

• Direct secure messaging: jerry.liles.1@29601.direct.athenahealth.com
• Direct secure messaging: jerry.liles@conviva.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Conviva Medical Center Management of Texas, P.a.

  • Internal Medicine Physician
  • Live Oak, TX
  • NPI 1770988990

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Rabagos Health Care PLLC

  dba Statcare Minor Emergency Clinic

  • Family Medicine Physician
  • Kingsville, TX
  • NPI 1689924904
  NPD
• Centerwell Senior Primary Care (SC) PC

  dba CenterWell Senior Primary Care-Orchard Park

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1376907790

  Family Medicine

  NPD
• Abk Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Alice, TX
  • NPI 1801983036
  NPD (past)
• Bayside Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Alice, TX
  • NPI 1720013964
  NPD (past)
• Bayside Emergency Pyhsicians, LLP

  • Emergency Medicine Physician
  • Beeville, TX
  • NPI 1174558324
  NPD (past)
• Texas Em-I Medical Services, PA

  • Internal Medicine Physician
  • Greenville, TX
  • NPI 1699981720
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• NSCL Inc

  dba Nursing Services and Consultants of Laredo

  • Home Health Agency
  • Benavides, TX
  • NPI 1053404236
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1013934645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 E 6TH ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324657",
            "telephone_number": "361-668-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "JERRY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F1749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerry.liles@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1009 E 6TH ST",
            "city": "ALICE",
            "state": "TX",
            "country_code": "US",
            "postal_code": "783324657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laredo Visiting Nurses, Inc. (DCHC Home Health & Hospice)
• Roselyn Marie Lazo
• Mario Lerma, COTA
• Yvette Lerma, FNP
• Liberty Lodge, Inc.
• Little Lighthouse Childrens Rehab (Little Lighthouse Children's Rehab, LLC)
• Loftin Dental, PLLC (Loftin Dental)
• Jennifer Valent Loftin, D.D.S.
• Velma R Longoria, RNFA
• Alejandro Lopez Jr., M.D.

• Family Medicine Physician in Alice, TX
• Providers in Alice, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.