Individual provider Active NPI

Ricardo Lerma Jr., PA-C

  • Physician Assistant
  • Mercedes, TX
National Provider Identifier
1043628712
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05833 Issued in TX
Practice address
801 West 2ND Street
Mercedes, TX 78570
Phone
(956) 565-6373
Fax
(956) 565-6177
NPI assigned
Jul 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05833 TX Primary

Addresses

Primary practice location

801 West 2ND Street
Mercedes, TX 78570

Mailing address

801 West 2ND Street
Mercedes, TX 78570
Phone (956) 565-6373

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205001531 TX Practitioner - Physician Assistant 3971892696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05833TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin a. Salinas MD, PA PastSince Jan 1, 2008 Accepting new patients
Mid Valley Adult Specialists PA PastSince Oct 12, 2022 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1043628712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WEST 2ND STREET",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "78570",
            "telephone_number": "956-565-6373",
            "fax_number": "956-565-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WEST 2ND STREET",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "78570",
            "telephone_number": "956-565-6373",
            "fax_number": "956-565-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERMA",
        "first_name": "RICARDO",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercedes, TX

Sources for this page

Verify at the official NPI Registry.