Organization Active NPI

Dr. Maria Monette Regalado M.D.

  • Nephrology Physician
  • Laredo, TX
National Provider Identifier
1144400342
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L3797 Issued in TX
Legal business name
DR. MARIA MONETTE REGALADO M.D.
Practice address
10710 McPherson Rd
Suite #203
Laredo, TX 78045-6271
Phone
(956) 717-8600
Fax
(956) 725-8043
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Mrs. Jane Melissa Kuykendall
Title
Office Coordinator
Phone
(956) 717-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X L3797 TX Primary

Addresses

Primary practice location

10710 McPherson Rd
Suite #203
Laredo, TX 78045-6271

Mailing address

PO Box 452088
Laredo, TX 78045-0051
Phone (956) 717-8600

Other identifiers 1

IdentifierTypeStateIssuer
0018MPOtherTXBLUECROSS BLUESHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050601001079 TX Part B Supplier - Clinic/Group Practice 4688617574 Receives reassigned benefits from 1 practitioner
Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Locations

10710 McPherson Rd
Ste 203
Laredo, TX 78045
Phone (956) 717-8600

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1144400342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452088",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450051",
            "telephone_number": "956-717-8600",
            "fax_number": "956-725-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MCPHERSON RD",
            "address_2": "SUITE #203",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456271",
            "telephone_number": "956-717-8600",
            "fax_number": "956-725-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARIA MONETTE REGALADO M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "KUYKENDALL",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "956-717-8600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L3797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0018MP",
            "state": "TX"
        }
    ],
    "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 Nov 29, 2007; 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.