Active NPI
Jose Guillermo Acevedo, M.D.
- Internal Medicine Physician
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K3050
- Practice address
- 2021 W Loop 281
Longview, TX 75604-2504 - Phone
- (903) 247-0660
- Fax
- (903) 381-7269
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K3050 | TX | Primary |
Addresses
Primary practice location
2021 W Loop 281
Longview, TX 75604-2504
Mailing address
2021 W Loop 281
Longview, TX 75604-2504
Phone (903) 247-0660
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230309001297 | TX | Practitioner - Internal Medicine | 4486027679 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Clinics of Longview
Practice addresses (Care Compare)
802 Medical Dr
Suite 200
Longview, TX 75605-5201
Phone (903) 236-7090
Hospital & facility affiliations
- Longview Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Clinics of Longview | Internal Medicine | Current | Accepting new patients |
| Diagnostic Clinic of Longview PA | Internal Medicine | Past | Accepting new patients |
Locations
802 Medical Cir
Ste 200
Longview, TX 75605
Phone (903) 232-8297
1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808
2021 W Loop 281
Longview, TX 75604
Phone (903) 291-0772
Interoperability endpoints
- jose.acevedo.1@28543.direct.athenahealth.com
- jose.acevedo.1@16432.direct.athenahealth.com
- https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Longview, TX
- NPI 1407047863
Internal Medicine, TX
-
- Internal Medicine Physician
- Longview, TX
- NPI 1386638468
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1295869006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 W LOOP 281",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756042504",
"telephone_number": "903-247-0660",
"fax_number": "903-381-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 W LOOP 281",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756042504",
"telephone_number": "903-247-0660",
"fax_number": "903-381-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "JOSE",
"middle_name": "GUILLERMO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K3050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.
- 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.