Active NPI
Manuel J Mercado, MD
- Internal Medicine Physician
- Pharr, TX
National Provider Identifier
1316919228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L0420
- Practice address
- 502 S Cage Blvd
Pharr
Pharr, TX 78577-5449 - Phone
- (956) 702-1013
- Fax
- (956) 781-5196
- NPI assigned
- Feb 3, 2006
- Last updated
- Jan 27, 2012
- 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 | L0420 | TX | Primary |
Addresses
Primary practice location
502 S Cage Blvd
Pharr
Pharr, TX 78577-5449
Mailing address
502 S Cage Blvd
Pharr
Pharr, TX 78577-5449
Phone (956) 702-1013
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0087ET | Other | TX | BCBS |
| P00191876 | Other | TX | RAILROAD MEDICARE |
| 030866002 | Medicaid | TX | |
| 0087ET | Other | TX | BLUE CROSS BLUE SHIELD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
502 S Cage Blvd
Pharr, TX 78577-5449
Phone (956) 702-1013
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0420 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maximiliano Hernandez MD PA | Internal Medicine | Current | Accepting new patients |
Locations
502 S Cage Blvd
Pharr, TX 78577
Phone (956) 702-1013
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCIFBA/Endpoint/DCIFBA
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.
-
- Internal Medicine Physician
- Pharr, TX
- NPI 1427020676
-
- Internal Medicine Physician
- Pharr, TX
- NPI 1861464026
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba DHR Health
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
dba DHR Health
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
-
dba Avir at Pharr
- Skilled Nursing Facility
- Pharr, TX
- NPI 1245566736
Nursing home
-
- Home Health Agency
- Edinburg, TX
- NPI 1366433468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1316919228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 S CAGE BLVD",
"address_2": "PHARR",
"city": "PHARR",
"state": "TX",
"postal_code": "785775449",
"telephone_number": "956-702-1013",
"fax_number": "956-781-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S CAGE BLVD",
"address_2": "PHARR",
"city": "PHARR",
"state": "TX",
"postal_code": "785775449",
"telephone_number": "956-702-1013",
"fax_number": "956-781-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "MANUEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L0420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0087ET",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00191876",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030866002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0087ET",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.