Edgar Bacares, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M9827 Issued in TX

Practice address

2120 N Mays St
Round Rock, TX 78664-2192

Phone

(877) 800-5722

Fax

(512) 257-1763

NPI assigned

Aug 24, 2005

Last updated

Jun 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edgar.bacares.1@29821.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lone Star Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Georgetown, TX
  • NPI 1891746970

  Pediatrics

  Medicare reassignment NPD
• Lone Star Circle of Care

  dba Lone Star Circle of Care at Harker Heights

  • Federally Qualified Health Center (FQHC)
  • Harker Heights, TX
  • NPI 1528366648
  NPD
• Lone Star Circle of Care

  dba Lone Star Circle of Care at Collinfield

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1699289728
  NPD
• Lone Star Circle of Care

  dba Lone Star Circle of Care at Georgetown Dental

  • Federally Qualified Health Center (FQHC)
  • Georgetown, TX
  • NPI 1639129331
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1225021256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722",
            "fax_number": "512-257-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N MAYS ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642192",
            "telephone_number": "877-800-5722",
            "fax_number": "512-257-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACARES",
        "first_name": "EDGAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "209528",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M9827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01971448",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edgar.bacares.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2120 N Mays St",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786642192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Krystel Babaran
• Karine Babayan
• Babson Therapies Incorporated
• Karen Babson, MA;CCC SLP
• Vanessa Anne Baca
• Ayesha Bacchus
• Baylie Rayanne Baccinelli
• Aya Badawy
• Sandeep Badyal, MD
• Laura Lee Baer, MD

• Pediatrics Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.