Individual provider Active NPI

Renee Terene Gounden, M.D.

  • Family Medicine Physician
  • Weslaco, TX
National Provider Identifier
1083969349
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q6941 Issued in TX
Practice address
555 S International Blvd Ste B-100
Weslaco, TX 78596-9116
Phone
(956) 477-1515
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q6941 TX Primary

Addresses

Primary practice location

555 S International Blvd Ste B-100
Weslaco, TX 78596-9116

Mailing address

555 S International Blvd Ste B-100
Weslaco, TX 78596-9116
Phone (956) 477-1515

Other practice location 1

1000 Westway Ave
McAllen, TX 78501-4082
Phone (956) 431-0229

Other practice location 2

224 E Jackson St
Harlingen, TX 78550-6848
Phone (956) 477-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170109000701 TX Practitioner - Family Practice 4880919281 Reassigns benefits to 2 organizations
I20221026000227 GA Practitioner - Family Practice 4880919281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q6941TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Feb 28, 2018 Accepting new patients
The Southeast Permanente Medical Group Family Medicine CurrentSince Oct 17, 2022 Accepting new patients
Concord Medical Group PLLC CurrentSince Feb 28, 2018 Accepting new patients
Frontier Direct Care Weslaco Family Medicine CurrentSince Dec 3, 2023 Accepting new patients
Frontier Direct Care PLLC PastSince Sep 1, 2021 Accepting new patients
Primary Health Physicians, PLLC PastSince Sep 6, 2024 Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3649

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

5900 Altamesa Blvd
Ft Worth, TX 76132
Phone (817) 433-9100

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

555 S International Blvd
Ste B100
Weslaco, TX 78596
Phone (956) 303-6548

Organizations & group practices 6

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1083969349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S INTERNATIONAL BLVD STE B-100",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785969116",
            "telephone_number": "956-477-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S INTERNATIONAL BLVD STE B-100",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785969116",
            "telephone_number": "956-477-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Westway Ave",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785014082",
            "country_code": "US",
            "telephone_number": "956-431-0229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 E Jackson St",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785506848",
            "country_code": "US",
            "telephone_number": "956-477-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUNDEN",
        "first_name": "RENEE",
        "middle_name": "TERENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.