Individual provider Active NPI

Jose Guillermo Acevedo, M.D.

  • Internal Medicine Physician
  • Longview, TX
National Provider Identifier
1295869006
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3050 Issued in TX
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

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 38 clinicians

Practice addresses (Care Compare)

802 Medical Dr
Suite 200
Longview, TX 75605-5201
Phone (903) 236-7090

Hospital & facility affiliations

  • Longview Regional Medical Center Hospital, Longview, TX, CCN 450702

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Clinics of Longview Internal Medicine CurrentSince Nov 1, 2024 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

  • Direct secure messaging: jose.acevedo.1@28543.direct.athenahealth.com
  • Direct secure messaging: jose.acevedo.1@16432.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.