Organization Active NPI

RGV Surgical Associates, PLLC

  • Surgery Physician
  • Mission, TX
National Provider Identifier
1164055166
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
RGV SURGICAL ASSOCIATES, PLLC
Practice address
910 S Bryan Rd Ste 202
Mission, TX 78572-6659
Phone
(956) 682-6126
Fax
(956) 580-0464
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Mrs. Maricela Castillo
Title
Office Manager
Phone
(956) 682-6126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

910 S Bryan Rd Ste 202
Mission, TX 78572-6659

Mailing address

910 S Bryan Rd Ste 202
Mission, TX 78572-6659
Phone (956) 682-6126

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200420001182 TX Part B Supplier - Clinic/Group Practice 7315377157 Receives reassigned benefits from 2 practitioners
Practice locations: Mission, TX

National Provider Directory

National Provider Directory

Locations

910 S Bryan Rd
Mission, TX 78572
Phone (956) 519-8188

Practitioners & affiliated clinicians

Practitioners 2

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": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1164055166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S BRYAN RD STE 202",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726659",
            "telephone_number": "956-682-6126",
            "fax_number": "956-580-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S BRYAN RD STE 202",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726659",
            "telephone_number": "956-682-6126",
            "fax_number": "956-580-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MARICELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-682-6126",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.