NPIMap

Organization Active NPI

Doctors Hospital at Renaissance, LTD

  • Transplant Surgery Physician
  • McAllen, TX
National Provider Identifier
1104338052
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
Legal business name
DOCTORS HOSPITAL AT RENAISSANCE, LTD
Practice address
1100 E Dove Ave Ste 200
McAllen, TX 78504-4681
Phone
(956) 362-5433
Fax
(956) 362-2420
NPI assigned
Nov 1, 2017
Organization subpart
Yes
Parent organization
DOCTORS HOSPITAL AT RENAISSANCE, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Steven V Beckman
Title
Cfo
Phone
(956) 362-3065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204F00000X Primary

Addresses

Primary practice location

1100 E Dove Ave Ste 200
McAllen, TX 78504-4681

Mailing address

PO Box 3293
McAllen, TX 78502-3293
Phone (956) 362-8677

Other practice location 1

1100 E Dove Ave Ste 201
McAllen, TX 78504-4681
Phone (956) 362-8030

Other identifiers 2

IdentifierTypeStateIssuer
160709501MedicaidTX
HH1032OtherTXBLUE CROSS

Other names 3

  • DHR Health Doing business as
  • Day Surgery at Renaissance, LLC Former legal business name
  • Renaissance Transplant Institute Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030606000015 TX Part A Provider - Hospital 8224948476 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Hospital certification: CCN 450869

Legal name
DOCTORS HOSPITAL AT RENAISSANCE, LTD
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 22, 2003
Last certification
Aug 10, 2024
Beds
583
Ownership / control type
Physician ownership
Organization structure
PartnershipProprietary
Incorporated
Dec 31, 2001 in TX
Enrollment address
5501 S McColl Rd
Doctors Hospital at Renaissance LTD
Edinburg, TX 78539-5503
Opt Extension Site
Hospital subgroups
Acute care, Psychiatric unit, Rehabilitation unit, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Doctors Hosptal at RenaissanceCCN 450869
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Doctors Hosp at Renaissance5 organizations share this tax ID, including this one
Part of
Doctors Hosp at Renaissance

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1100 E Dove Ave
Ste 201
McAllen, TX 78504
Phone (956) 362-2200

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lawrence R Gelman Individual 5% Or Greater Direct Ownership Interest Feb 28, 2022 6.37%
Guadalupe Alonzo Cantu Individual 5% Or Greater Direct Ownership Interest Feb 28, 2022 10.63%
Lorenzo Olivarez Individual Corporate OfficerChief Financial Officer Nov 1, 2024
Corporate DirectorChief Financial Officer Nov 1, 2024
W-2 Managing Employee Nov 1, 2024
Susan Turley Individual Corporate Officer Oct 6, 2017
W-2 Managing Employee Oct 6, 2017
Alfonso Gonzalez Individual W-2 Managing EmployeeChief Revenue Officer May 1, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 836

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 836

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1104338052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3293",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785023293",
            "telephone_number": "956-362-8677",
            "fax_number": "956-362-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E DOVE AVE STE 200",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044681",
            "telephone_number": "956-362-5433",
            "fax_number": "956-362-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Dove Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785044681",
            "country_code": "US",
            "telephone_number": "956-362-8030",
            "fax_number": "956-362-8035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTORS HOSPITAL AT RENAISSANCE, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS HOSPITAL AT RENAISSANCE, LTD",
        "enumeration_date": "2017-11-01",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "BECKMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "956-362-3065"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Transplant Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160709501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH1032",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHR Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Day Surgery at Renaissance, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Renaissance Transplant Institute",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Renaissance Transplant Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.