Juan Saucedo, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J2303 Issued in TX

Practice address

1000 Crown Ridge Blvd
Ste C
Eagle Pass, TX 78852-3219

Phone

(830) 335-2552

Fax

(830) 335-2580

NPI assigned

Jan 10, 2007

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

Family Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthonys Home Healthcare Services Inc Home health agency, McAllen, TX, CCN 457996
• Eagle Pass Hospice and Palliative Care LLC Hospice, Eagle Pass, TX, CCN 971708
• Fort Duncan Medical Center Hospital, Eagle Pass, TX, CCN 450092

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: juan.saucedo.1@28588.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Eagle Pass Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Eagle Pass, TX
  • NPI 1841839057

  Contracted Managing Employee, Corporate Director

  CMS ownership

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.

• Saucedo Family Care, PLLC

  • Primary Care Clinic/Center
  • Eagle Pass, TX
  • NPI 1669912804

  TX

  Medicare reassignment NPD Authorized official
• Alfonso H Luevano MD P a

  • General Practice Physician
  • Carrizo Springs, TX
  • NPI 1598903353
  NPD (past)

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

• Eagle Pass Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Eagle Pass, TX
  • NPI 1841839057

  Hospice

  Care Compare affiliation
• Fort Duncan Medical Center LP

  • General Acute Care Hospital
  • Eagle Pass, TX
  • NPI 1770579591

  Hospital

  Care Compare affiliation
• St. Anthony'S Home Healthcare Services, Inc.

  • Home Health Agency
  • McAllen, TX
  • NPI 1306922034
  Care Compare affiliation

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1104976539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CROWN RIDGE BLVD",
            "address_2": "STE C",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523219",
            "telephone_number": "830-876-9458",
            "fax_number": "830-876-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CROWN RIDGE BLVD",
            "address_2": "STE C",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523219",
            "telephone_number": "830-335-2552",
            "fax_number": "830-335-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2303",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J2303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Rosa Primary Care Inc
• Santana Family Care PLLC
• Raphael Santana, FNP
• Nakul Satyendra
• Saucedo Family Care, PLLC
• Veronica Lizette Saucedo
• William Anthony Savage
• Angela Lynn Schladoer, D.P.M.
• Isela Segura
• Semed LLC

• All providers in Eagle Pass, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.