Individual provider Active NPI

Renato C Atencio, M.D.

  • General Practice Physician
  • Pharr, TX
National Provider Identifier
1235279555
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
L0975 Issued in TX
Practice address
807 N. Cage
Pharr, TX 78577
Phone
(956) 283-1889
Fax
(956) 283-7014
NPI assigned
Feb 7, 2007
Last updated
Jul 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L0975 TX
General Practice Physician 208D00000X L0975 TX Primary

Addresses

Primary practice location

807 N. Cage
Pharr, TX 78577

Mailing address

807 N. Cage
Pharr, TX 78577
Phone (956) 283-1889

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
I20071231000370 TX Practitioner - General PracticePractitioner - Family PracticePractitioner - Pediatric Medicine 6305730987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edinburg Pediatric Network LLCGroup PAC ID 2062541469, 4 clinicians

Practice addresses (Care Compare)

807 N Cage Blvd
Pharr, TX 78577-3117
Phone (956) 782-7993

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30975TXMDDentist
L0975TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Pediatrics PLLC Pediatrics Past Accepting new patients
Jonquil Pediatrics PLLC Pediatrics PastSince Jul 28, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1235279555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N. CAGE",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "78577",
            "telephone_number": "956-283-1889",
            "fax_number": "956-283-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N. CAGE",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "78577",
            "telephone_number": "956-283-1889",
            "fax_number": "956-283-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATENCIO",
        "first_name": "RENATO",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L0975",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "L0975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

Verify at the official NPI Registry.