Juan Anzaldua, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07237 Issued in TX

Practice address

2603 Michaelangelo Dr
Edinburg, TX 78539-1417

Phone

(956) 362-8767

Fax

(956) 362-2548

NPI assigned

May 22, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Renaissance Surgery GroupGroup PAC ID 9234384769, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score

99.46 of 100Reported as group

Quality

83.64

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: juananzaldua@uiar.medalliesdirect.net

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.

• Renaissance Surgery Group

  • Urology Physician
  • Edinburg, TX
  • NPI 1215289129
  Medicare reassignment Care Compare group
• Renaissance Urology Centers PA

  • Urology Physician
  • Edinburg, TX
  • NPI 1912916131
  NPD

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

• Doctors Hospital at Renaissance, LTD

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1104338052

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1306022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1124311394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3989",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785023989",
            "telephone_number": "956-362-8767",
            "fax_number": "956-362-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 MICHAELANGELO DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391417",
            "telephone_number": "956-362-8767",
            "fax_number": "956-362-2548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2603 Michaelangelo Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785391417",
            "country_code": "US",
            "telephone_number": "956-362-8767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANZALDUA",
        "first_name": "JUAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-22",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355872803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angels All Around Home Care, LLC
• Angels All Around Home Care, LLC
• Julia M. Aniceto, LPC
• Antonio Wong,MD & Associates,PA
• Mian Uman Anwer
• Priscilla Marie Anzaldua, CRNA
• Trenton Apodaca, APRN-CNP, FPMHMP
• Apple Tree Therapy PLLC
• Aptus Health Care P.L.L.C.
• Aptus Health Care PLLC

• Physician Assistant in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.