Individual provider Active NPI

Cesar Reza-Trujillo, MD

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1043281744
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
315335 Issued in NY
Practice address
619 W 54TH St FL 8
New York, NY 10019-3545
Phone
(212) 889-3142
NPI assigned
Jan 30, 2006
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L2595 TX
Anesthesiology Physician 207L00000X 315335 NY Primary

Addresses

Primary practice location

619 W 54TH St FL 8
New York, NY 10019-3545

Mailing address

3822 Copper Bend Rd
Laredo, TX 78045-8440
Phone (956) 740-7392

Other identifiers 4

IdentifierTypeStateIssuer
P00111215OtherTXMEDICARE RAILROAD
8K2463OtherTXBCBS
161511401MedicaidTX
161511403MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100507000532 TX Practitioner - Anesthesiology 2365570520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas - Dallas PLLCGroup PAC ID 3678966819, 20 clinicians

Practice addresses (Care Compare)

1700 E Saunders St
Laredo Medical Center
Laredo, TX 78041-5474
Phone (956) 796-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
315335NYMDAnesthesiology Physician
L2595TXMDAnesthesiology Physician
J2595TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas - Dallas PLLC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Texas Ams PLLC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
Laredo Regional Medical Center Anesthesiology Past Accepting new patients
Lopez Anesthesia PA Anesthesiology Past Accepting new patients

Locations

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2068

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

230 Calle del Norte
Laredo, TX 78041
Phone (956) 693-5000

6124 W Parker Rd
Ste 530
Plano, TX 75093
Phone (214) 778-1075

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1043281744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 COPPER BEND RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458440",
            "telephone_number": "956-740-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W 54TH ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193545",
            "telephone_number": "212-889-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZA-TRUJILLO",
        "first_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L2595",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "315335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00111215",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K2463",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161511401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161511403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.