Organization Active NPI

New Era Nephrology P.a.

  • Nephrology Physician
  • McAllen, TX
National Provider Identifier
1114944188
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K6835 Issued in TX
Legal business name
NEW ERA NEPHROLOGY P.A.
Practice address
1301 E Ridge Rd Ste a
McAllen, TX 78503-1619
Phone
(956) 687-8223
Fax
(956) 687-8225
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Angelito O De Dios, M.D.NPI 1902823974
Title
Medical Director
Phone
(956) 687-8223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X K6835 TX Primary

Addresses

Primary practice location

1301 E Ridge Rd Ste a
McAllen, TX 78503-1619

Mailing address

1301 E Ridge Rd Ste a
McAllen, TX 78503-1619
Phone (956) 687-8223

Other identifiers 1

IdentifierTypeStateIssuer
179552801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060405000501 TX Part B Supplier - Clinic/Group Practice 5890703680 Receives reassigned benefits from 1 practitioner
Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Locations

222 E Ridge Rd
Ste 116
McAllen, TX 78503
Phone (956) 661-9111

1301 E Ridge Rd
Ste A
McAllen, TX 78503
Phone (956) 687-8223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1114944188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E RIDGE RD STE A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031619",
            "telephone_number": "956-687-8223",
            "fax_number": "956-687-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E RIDGE RD STE A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031619",
            "telephone_number": "956-687-8223",
            "fax_number": "956-687-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ERA NEPHROLOGY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "DE DIOS",
        "authorized_official_first_name": "ANGELITO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "956-687-8223",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K6835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179552801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.