Individual provider Active NPI

Amanda Noemi Cantu, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Mission, TX
National Provider Identifier
1093102923
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
S6368 Issued in TX
Practice address
1112 E Griffin Pkwy Ste D
Mission, TX 78572-2408
Phone
(956) 603-1557
Fax
(956) 800-6369
NPI assigned
Apr 17, 2015
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10052476 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X S6368 TX Primary

Addresses

Primary practice location

1112 E Griffin Pkwy Ste D
Mission, TX 78572-2408

Mailing address

7017 N 10TH St Ste N2
McAllen, TX 78504-3288
Phone (956) 603-1555

Other practice location 1

1116 E 8th St Ste 3
Weslaco, TX 78596-7288
Phone (956) 603-1556

Other practice location 2

4113 Crosspoint Blvd
Edinburg, TX 78539-1803
Phone (956) 603-1555

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
I20200714001110 TX Practitioner - Endocrinology 7810282639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4113 Crosspoint Blvd
Edinburg, TX 78539-1803
Phone (956) 603-1555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6368TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Diabetes & Endocrinology Comprehensive Center P.L.L.C. Endocrinology, Diabetes & Metabolism CurrentSince Jul 5, 2023 Accepting new patients
Gloria Ortiz, MD, P.a. Endocrinology, Diabetes & Metabolism CurrentSince Jul 13, 2020 Accepting new patients

Locations

4113 Crosspoint Blvd
Edinburg, TX 78539
Phone (956) 603-1555

4113 Crosspoint Blvd
Ste 11
Edinburg, TX 78539
Phone (956) 603-1555

1900 S Jackson Rd
Ste 1
McAllen, TX 78503
Phone (956) 340-4222

7017 N 10th St
Ste N2
McAllen, TX 78504
Phone (956) 342-7777

1112 E Griffin Pkwy
Ste D
Mission, TX 78572
Phone (956) 450-3093

1300 S Bryan Rd
Ste 107
Mission, TX 78572
Phone (956) 581-8489

1116 E 8th St
Ste 3
Weslaco, TX 78596
Phone (956) 603-1555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17384/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 3

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1093102923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 N 10TH ST STE N2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043288",
            "telephone_number": "956-603-1555",
            "fax_number": "956-800-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E GRIFFIN PKWY STE D",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722408",
            "telephone_number": "956-603-1557",
            "fax_number": "956-800-6369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 E 8th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785967288",
            "country_code": "US",
            "telephone_number": "956-603-1556",
            "fax_number": "956-800-6369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4113 Crosspoint Blvd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785391803",
            "country_code": "US",
            "telephone_number": "956-603-1555",
            "fax_number": "956-800-6369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTU",
        "first_name": "AMANDA",
        "middle_name": "NOEMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10052476",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "S6368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.