Individual provider Active NPI

Dileep Vijay Menon, M.D

  • Interventional Cardiology Physician
  • Rio Grande City, TX
National Provider Identifier
1104956119
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
M3018 Issued in TX
Practice address
101 N FM 3167 Ste 104
Rio Grande City, TX 78582-6776
Phone
(956) 352-1431
Fax
(956) 352-1436
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M3018 TX
Cardiovascular Disease Physician 207RC0000X M3018 TX
Interventional Cardiology Physician 207RI0011X M3018 TX Primary

Addresses

Primary practice location

101 N FM 3167 Ste 104
Rio Grande City, TX 78582-6776

Mailing address

PO Box 4449
McAllen, TX 78502-4449
Phone (563) 623-5214

Other practice location 1

1401 W Expressway 83
San Benito, TX 78586-7770
Phone (956) 488-9211

Other identifiers 1

IdentifierTypeStateIssuer
285658501MedicaidTX

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
I20111019000197 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2860678521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Cardiology GroupGroup PAC ID 9830323138, 31 clinicians

Practice addresses (Care Compare)

101 N FM
3167 Suite 104
Rio Grande City, TX 78582-6776
Phone (956) 352-1431

Hospital & facility affiliations

  • Starr County Memorial Hospital Hospital, Rio Grande City, TX, CCN 450654
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score
88.43 of 100Reported as group
Quality
74.62
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Cardiology Group Internal Medicine CurrentSince Sep 6, 2019 Accepting new patients
Renaissance ICU Group Internal Medicine PastSince Sep 6, 2019 Accepting new patients
Juan Joel Garza, MD PA Cardiovascular Disease Past Accepting new patients
McAllen Hospitals L P Past Accepting new patients

Locations

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

5525 Doctors Dr
Edinburg, TX 78539
Phone (956) 362-8740

1817 S D St
McAllen, TX 78503
Phone (956) 362-3796

1801 S 5th St
Ste 13
McAllen, TX 78503
Phone (956) 362-3300

101 N FM 3167
Ste 104
Rio Grande City, TX 78582
Phone (956) 352-1431

101 N FM 3167
Ste 106
Rio Grande City, TX 78582
Phone (956) 352-1431

201 N FM 3167
Ste 104
Rio Grande City, TX 78582
Phone (956) 352-1431

1401 W Expressway 83
San Benito, TX 78586
Phone (956) 362-3700

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 5

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1104956119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4449",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024449",
            "telephone_number": "563-623-5214",
            "fax_number": "956-362-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N FM 3167 STE 104",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826776",
            "telephone_number": "956-352-1431",
            "fax_number": "956-352-1436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 W Expressway 83",
            "address_purpose": "LOCATION",
            "city": "San Benito",
            "state": "TX",
            "postal_code": "785867770",
            "country_code": "US",
            "telephone_number": "956-488-9211",
            "fax_number": "956-735-1583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENON",
        "first_name": "DILEEP",
        "middle_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M3018",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M3018",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "M3018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285658501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.