Individual provider Active NPI

Cera Georgene Kroenke, D.O.

  • Surgery Physician
  • McAllen, TX
National Provider Identifier
1306371711
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T5954 Issued in TX
Practice address
1100 E Dove Ave Ste 300
McAllen, TX 78504-4672
Phone
(956) 362-8170
Fax
(956) 362-8168
NPI assigned
Apr 23, 2017
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T5954 TX Primary

Addresses

Primary practice location

1100 E Dove Ave Ste 300
McAllen, TX 78504-4672

Mailing address

PO Box 2975
McAllen, TX 78502-2975
Phone (956) 362-8170

Other practice location 1

4770 N Expressway Ste 305A
Brownsville, TX 78526-4165
Phone (956) 362-3980

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
I20220705001638 TX Practitioner - General Surgery 0547640864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Specialty SurgeryGroup PAC ID 8628291820, 26 clinicians

Practice addresses (Care Compare)

1100 E Dove Ave
Suite 300
McAllen, TX 78504-4682
Phone (956) 362-8170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.16 of 100Reported as group
Quality
80.62
Improvement activities
40
Cost
69.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T5954TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Specialty Surgery Surgery CurrentSince Jun 23, 2022 Accepting new patients
Doctors Hospital at Renaissance, LTD Past Accepting new patients

Locations

4770 N Expressway
Ste 305A
Brownsville, TX 78526
Phone (956) 362-3980

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

1100 E Dove Ave
Ste 300
McAllen, TX 78504
Phone (956) 362-8170

2795 Pharmacy Rd
Rio Grande Cy, TX 78582
Phone (956) 317-1485

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/

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

Hospital & facility affiliations 2

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": "1492905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1306371711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2975",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785022975",
            "telephone_number": "956-362-8170",
            "fax_number": "956-362-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E DOVE AVE STE 300",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044672",
            "telephone_number": "956-362-8170",
            "fax_number": "956-362-8168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 N Expressway Ste 305A",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785264165",
            "country_code": "US",
            "telephone_number": "956-362-3980",
            "fax_number": "956-362-3979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROENKE",
        "first_name": "CERA",
        "middle_name": "GEORGENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-23",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T5954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.