Individual provider Active NPI

Gilbert Brady Santos, PA

  • Medical Physician Assistant
  • McAllen, TX
National Provider Identifier
1083641716
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA04604 Issued in TX
Practice address
208 Lindberg Ave
McAllen, TX 78501-2920
Phone
(956) 664-8357
Fax
(956) 322-4822
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA04604 TX Primary

Addresses

Primary practice location

208 Lindberg Ave
McAllen, TX 78501-2920

Mailing address

2000 S McColl Rd Ste B152
McAllen, TX 78503-1501
Phone (956) 664-8357

Other practice location 1

1701 Hibiscus Ave
McAllen, TX 78501-3223
Phone (956) 655-5834

Other identifiers 4

IdentifierTypeStateIssuer
28900483MedicaidTX
P01663156OtherTXRR MEDICARE
421545ZLVQOtherTXMEDICARE
8FZ627OtherTXBCBS

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
I20051221000945 TX Practitioner - Physician Assistant 2668494345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAllen Hospitalist Group PLLCGroup PAC ID 9830113836, 106 clinicians
Padmini Bhadriraju MD P.a.Group PAC ID 7214118173, 21 clinicians

Practice addresses (Care Compare)

1102 W Trenton Rd
Edinburg, TX 78539-9105
Phone (956) 388-6000

301 W Expressway
Suite 83
McAllen, TX 78503-3045
Phone (956) 632-4000

5501 S Expressway
77 Harlingen Medical Center
Harlingen, TX 78550-3213
Phone (956) 365-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.35 of 100Reported as group
Quality
50.62
Promoting interoperability
95
Improvement activities
20
Cost
73.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA04604TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge Zamora-Quezada MD MPH PA Past Accepting new patients
Knapp Medical Center Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1083641716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MCCOLL RD STE B152",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031501",
            "telephone_number": "956-664-8357",
            "fax_number": "956-332-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012920",
            "telephone_number": "956-664-8357",
            "fax_number": "956-322-4822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Hibiscus Ave",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785013223",
            "country_code": "US",
            "telephone_number": "956-655-5834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "GILBERT",
        "middle_name": "BRADY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28900483",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01663156",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "421545ZLVQ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8FZ627",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.