Individual provider Active NPI

Ruben D Bocanegra, MD

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1205820602
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J8919 Issued in TX
Practice address
4151 Jaime Zapata Memorial Hwy
Ste 101-B
Laredo, TX 78043-4725
Phone
(956) 724-2800
Fax
(956) 724-4167
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J8919 TX Primary

Addresses

Primary practice location

4151 Jaime Zapata Memorial Hwy
Ste 101-B
Laredo, TX 78043-4725

Mailing address

4151 Jaime Zapata Memorial Hwy
Ste 101-B
Laredo, TX 78043-4725
Phone (956) 724-2800

Other practice location 1

7210 McPherson Rd Ste 200
Laredo, TX 78041-6505
Phone (956) 724-2800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ruben@rubendbocanegra.amazing-direct.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040724000105 TX Practitioner - Family Practice 2365422870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7210 McPherson Rd
Suite 200
Laredo, TX 78041-6505
Phone (956) 724-2800

Hospital & facility affiliations

  • Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643
  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ruben D Bocanegra MD PA Family Medicine CurrentSince Apr 1, 2003 Accepting new patients
City of Laredo Past Accepting new patients

Locations

7210 McPherson Rd
Ste 200
Laredo, TX 78041
Phone (956) 722-4818

4151 Jaime Zapata Memorial Hwy
Ste 101B
Laredo, TX 78043
Phone (956) 724-2800

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1205820602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 JAIME ZAPATA MEMORIAL HWY",
            "address_2": "STE 101-B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434725",
            "telephone_number": "956-724-2800",
            "fax_number": "956-724-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 JAIME ZAPATA MEMORIAL HWY",
            "address_2": "STE 101-B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434725",
            "telephone_number": "956-724-2800",
            "fax_number": "956-724-4167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7210 McPherson Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780416505",
            "country_code": "US",
            "telephone_number": "956-724-2800",
            "fax_number": "956-724-4167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCANEGRA",
        "first_name": "RUBEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ruben@rubendbocanegra.amazing-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4151 Jaime Zapata Memorial Hwy",
            "address_2": "STE 101-B",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780434725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.