Andrew N Dentino, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L4331 Issued in TX

Practice address

5423 S McColl Rd
Edinburg, TX 78539-9183

Phone

(956) 362-3575

Fax

(956) 362-3584

NPI assigned

Jun 9, 2005

Last updated

Sep 30, 2021By 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 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

98.1 of 100Reported as group

Quality

86

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Uvalde County Hospital Authority

  dba The Heights of Bulver

  • Skilled Nursing Facility
  • Bulverde, TX
  • NPI 1003371097

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Trumen Physicians and Associates PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1134442320
  Medicare reassignment NPD
• University of Texas Rio Grande Valley

  • Physiological Laboratory
  • Harlingen, TX
  • NPI 1689330649
  NPD (past)
• Uvalde County Hospital Authority

  dba The Heights of Bulver

  • Skilled Nursing Facility
  • Bulverde, TX
  • NPI 1003371097
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1295739126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399183",
            "telephone_number": "956-362-3575",
            "fax_number": "956-362-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399183",
            "telephone_number": "956-362-3575",
            "fax_number": "956-362-3584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 E 6th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785966608",
            "country_code": "US",
            "telephone_number": "956-296-7710",
            "fax_number": "956-296-7705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENTINO",
        "first_name": "ANDREW",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "29405",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MS",
            "license": "19565",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477283-05",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08HM98801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Y Delgado Medrano
• Daniela Delgado
• Delta Health & Performance
• Dina Segovia Dennis, PA
• Dental Associates of Edinburg LLC
• Jessica Viviann Deron, LPC
• Parul S Desai, MD PA
• Satish D Desai, M.D.
• Jaime Enrique Deseda, MD
• Ashley Nichole Desiga

• Internal Medicine Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.