Active NPI
Jesus Cedillo, PA
- Physician Assistant
- Laredo, TX
National Provider Identifier
1124418579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 10700 McPherson Rd
Laredo, TX 78045-6268 - Phone
- (956) 523-2000
- NPI assigned
- Jan 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA09683 | TX | |
| Physician Assistant | 363A00000X | TX | Primary |
Addresses
Primary practice location
10700 McPherson Rd
Laredo, TX 78045-6268
Mailing address
10700 McPherson Rd
Laredo, TX 78045-6268
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7210 McPherson Rd
Suite 117
Laredo, TX 78041-6505
Phone (956) 282-4177
Hospital & facility affiliations
- Doctors Hospital of Laredo
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.06 of 100
- Quality
- 81.25
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.7 of 100
- Quality
- 89.53
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garza Medical Associates | Past | Accepting new patients | |
| Texas Em-1 Medical Services, PA | Physician Assistant | Past | Accepting new patients |
| Texas Emergency Room Services PA | Past | Accepting new patients |
Interoperability endpoints
- jcedillo@org17.direct.charmhealth.com
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Laredo, TX
- NPI 1295314995
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
- Emergency Medicine Physician
- Laredo, TX
- NPI 1275183956
-
- Urgent Care Clinic/Center
- Laredo, TX
- NPI 1043951007
-
- Emergency Medicine Physician
- Laredo, TX
- NPI 1770543555
-
- Internal Medicine Physician
- Laredo, TX
- NPI 1356632327
-
- Physician Assistant
- Texarkana, TX
- NPI 1558314062
-
- Emergency Medicine Physician
- Del Rio, TX
- NPI 1447200696
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laredo, TX
- NPI 1396731105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1124418579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 MCPHERSON RD",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 MCPHERSON RD",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456268",
"telephone_number": "956-523-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDILLO",
"first_name": "JESUS",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-23",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA09683",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.