Individual provider Active NPI

Kasandra Paredes

  • Medical Physician Assistant
  • San Benito, TX
National Provider Identifier
1215669262
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA17833 Issued in TX
Practice address
351 N Sam Houston Blvd
San Benito, TX 78586-4656
Phone
(956) 247-7000
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA17833 TX Primary

Addresses

Primary practice location

351 N Sam Houston Blvd
San Benito, TX 78586-4656

Mailing address

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

Other practice location 1

721 W Harrison Ave
Harlingen, TX 78550-6016
Phone (956) 247-7000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240420000104 TX Practitioner - Physician Assistant 4688013857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monzer H Yazji MD and Associates PLLCGroup PAC ID 2062470529, 83 clinicians

Practice addresses (Care Compare)

351 N Sam Houston Blvd
San Benito, TX 78586-4656
Phone (956) 247-7000

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

721 W Harrison Ave
Harlingen, TX 78550-6016
Phone (956) 247-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monzer H Yazji MD & Associates PLLC CurrentSince May 1, 2024 Accepting new patients
San Benito Medical Associates, PLLC Past Accepting new patients

Locations

3125 International Blvd
Brownsville, TX 78521
Phone (956) 541-4200

1601 E Alton Gloor Blvd
Ste 109
Brownsville, TX 78526
Phone (956) 550-9669

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

721 W Harrison Ave
Harlingen, TX 78550
Phone (956) 247-7000

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

351 N Sam Houston Blvd
San Benito, TX 78586
Phone (956) 247-7000

1206 E 6th St
Weslaco, TX 78596
Phone (956) 447-8377

Interoperability endpoints

  • Direct secure messaging: kasandra.paredes@415054778073092.direct.elationemr.com
  • Direct secure messaging: kasandra.paredes.1@33464.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1215669262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-292-0100",
            "fax_number": "956-383-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N SAM HOUSTON BLVD",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785864656",
            "telephone_number": "956-247-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 W Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785506016",
            "country_code": "US",
            "telephone_number": "956-247-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "KASANDRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA17833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Benito, TX

Sources for this page

Verify at the official NPI Registry.