Nicolas E Trujillo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L3165 Issued in TX

Practice address

5000 N 23Rd St
Suite K
McAllen, TX 78504-4013

Phone

(956) 278-3777

Fax

(800) 396-9360

NPI assigned

Jul 14, 2005

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

Other identifiers 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Guadalupe Pediatric Clinic P.a.

  • Pediatrics Physician
  • McAllen, TX
  • NPI 1093952517
  NPD (past) Authorized official
• Nuestra Clinica del Valle, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Juan, TX
  • NPI 1891793246
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1073511887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5269 N 23RD ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044010",
            "telephone_number": "956-278-3777",
            "fax_number": "800-396-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 N 23RD ST",
            "address_2": "SUITE K",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044013",
            "telephone_number": "956-278-3777",
            "fax_number": "800-396-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "NICOLAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L3165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145491009",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mergene Trinidad, APRN-CNP
• Tru Rehab Services LLC
• Trucare DME LLC
• Monica Rosa Trujillo-Valencia, M.D.
• Kimberly Ann Trujillo, LPC
• Oscar L Trujillo, MD
• Rebecca A Trujillo, PTA
• Rut Alicia Trujillo, R.N
• Joyce Tseng, APRN, AGCNS-BC
• Barbara A Tucker, FNP

• Pediatrics Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.