NPIMap

Individual provider Active NPI

Maria T Camacho, MD

  • Pediatric Critical Care Medicine Physician
  • Harlingen, TX
National Provider Identifier
1295716025
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
L3934 Issued in TX
Practice address
102 N Nueces Park LN
Harlingen, TX 78552-6235
Phone
(956) 421-2414
Fax
(956) 421-3321
NPI assigned
Nov 9, 2005
Last updated
Sep 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X L3934 TX Primary

Addresses

Primary practice location

102 N Nueces Park LN
Harlingen, TX 78552-6235

Mailing address

PO Box 534358
Harlingen, TX 78553-4358
Phone (956) 421-2414

Other identifiers 2

IdentifierTypeStateIssuer
155603701MedicaidTX
155603706MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000566 TX Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 3173546504 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nueces Emergency Medicine Associates PA CurrentSince Apr 20, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2013 Accepting new patients
Edinburg Emergency Medicine Associates PA CurrentSince Jul 28, 2014 Accepting new patients
Driscoll Childrens Hospital Past Accepting new patients
VHS Harlingen Hospital Company LLC Past Accepting new patients
RGV Pediatric Critical Care PA Pediatric Critical Care Medicine Past Accepting new patients
Luis E Eguia MD PA Past Accepting new patients
Harlingen Physician Network, Inc, Past Accepting new patients
Harlingen Physician Network Inc Past Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

2820 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 342-0485

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

Organizations & group practices 11

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1295716025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534358",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785534358",
            "telephone_number": "956-421-2414",
            "fax_number": "956-421-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N NUECES PARK LN",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785526235",
            "telephone_number": "956-421-2414",
            "fax_number": "956-421-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "MARIA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "L3934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155603701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155603706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.