Claudio Constantino Toledo, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

P2169 Issued in TX

Practice address

19851 Highway 46 W
Ste 201
Spring Branch, TX 78163

Phone

(713) 277-2222

Fax

(210) 703-0934

NPI assigned

May 7, 2009

Last updated

Dec 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Emergency Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon Springs Emergency Medicine Associates PAGroup PAC ID 2769728641, 63 clinicians

McAllen Emergency Medicine Associates PAGroup PAC ID 1557686409, 79 clinicians

Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Edinburg Emergency Medicine Associates PAGroup PAC ID 9638246408, 74 clinicians

Oak Creek Emergency Medicine Associates PAGroup PAC ID 4385988385, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Val Verde Regional Medical Center Hospital, Del Rio, TX, CCN 450154
• South Texas Health System Hospital, Edinburg, TX, CCN 450119
• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
• Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788
• Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

Merit-based Incentive Payment System (MIPS)

Final score

95.62 of 100Reported as group

Quality

92.03

Improvement activities

40

Cost

85.07

Merit-based Incentive Payment System (MIPS)

Final score

94.46 of 100Reported as group

Quality

92.48

Improvement activities

40

Cost

72.99

Merit-based Incentive Payment System (MIPS)

Final score

86.24 of 100Reported as group

Quality

73.33

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 33)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/bfa557fc-696e-49f4-8d78-7cdfe1e82721/
• FHIR API: https://fhir-usa.unify.chbase.com/org/dimmit-a3ff579f

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.

• Canyon Springs Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Alamo, TX
  • NPI 1154825412
  Medicare reassignment Care Compare group NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment Care Compare group NPD
• Edinburg Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1942467113
  Medicare reassignment Care Compare group NPD
• McAllen Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • McAllen, TX
  • NPI 1336543636
  Medicare reassignment Care Compare group NPD
• Oak Creek Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • McAllen, TX
  • NPI 1629576632
  Medicare reassignment Care Compare group NPD
• Dimmit Regional Hospital

  • Emergency Medicine Physician
  • Carrizo Springs, TX
  • NPI 1164774253
  Medicare reassignment NPD
• Dimmit Regional Hospital

  • Critical Access Hospital
  • Carrizo Springs, TX
  • NPI 1326134255

  Emergency Medicine

  Medicare reassignment NPD
• Emergency Hospital Systems LLC

  dba Cleveland Emergency Hospital

  • General Acute Care Hospital
  • Cleveland, TX
  • NPI 1992172019
  Medicare reassignment NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment NPD
• Ess of South Texas LLC

  • Emergency Medicine Physician
  • Liberty, TX
  • NPI 1295128247
  Medicare reassignment NPD
• Frio Hospital Association

  dba Frio Regional Hospital

  • Critical Access Hospital Clinic/Center
  • Pearsall, TX
  • NPI 1952308132

  Emergency Medicine

  Medicare reassignment NPD
• Jackson County Hospital District

  dba Jackson County Hospital Physicians Group

  • Emergency Medicine Physician
  • Edna, TX
  • NPI 1215971478
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bay Area Healthcare Group, LTD.

  dba Corpus Christi Medical Center

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1508810573
  Care Compare affiliation
• Columbia Rio Grande Healthcare, L.P.

  dba Rio Grande Regional Hospital

  • General Acute Care Hospital
  • McAllen, TX
  • NPI 1619924719
  Care Compare affiliation
• McAllen Hospitals L P

  dba South Texas Health System - Heart

  • Cardiac Rehabilitation Clinic/Center
  • McAllen, TX
  • NPI 1043849425

  Hospital

  Care Compare affiliation
• McAllen Hospitals L P

  dba South Texas Health System

  • Psychiatric Hospital Unit
  • Edinburg, TX
  • NPI 1053301754
  Care Compare affiliation
• McAllen Hospitals L P

  dba South Texas Health System

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1770573586
  Care Compare affiliation
• Val Verde Hospital Corporation

  dba Val Verde Regional Medical Center

  • General Acute Care Hospital
  • Del Rio, TX
  • NPI 1104830900
  Care Compare affiliation
• VHS San Antonio Partners LLC

  dba Baptist Medical Center

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856
  Care Compare affiliation

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1104050061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BARTLETT DR",
            "address_2": "APT. 1103",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121608",
            "telephone_number": "915-412-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19851 HIGHWAY 46 W",
            "address_2": "STE 201",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "78163",
            "telephone_number": "713-277-2222",
            "fax_number": "210-703-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "CLAUDIO",
        "middle_name": "CONSTANTINO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P2169",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P2169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.