Individual provider Active NPI

Nicholas Anthony Kevin Metcalf, MD

  • Emergency Medicine Physician
  • Mission, TX
National Provider Identifier
1326020207
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G1114 Issued in TX
Practice address
900 S Bryan Rd
Mission, TX 78572-6613
Phone
(956) 580-9000
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G1114 TX Primary

Addresses

Primary practice location

900 S Bryan Rd
Mission, TX 78572-6613

Mailing address

5201 Sugar Mill Rd
Brownsville, TX 78526-3874
Phone (956) 548-0485

Other identifiers 3

IdentifierTypeStateIssuer
139630119MedicaidTX
8R0692OtherTXBCBS
139630123MedicaidTX

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
I20041110000070 TX Practitioner - Emergency Medicine 6305809419 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G1114TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince May 11, 2015 Accepting new patients
Bridge Avenue Emergency Physicians Emergency Medicine Past Accepting new patients
Rio Grande Valley Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1326020207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 SUGAR MILL RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263874",
            "telephone_number": "956-548-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726613",
            "telephone_number": "956-580-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY KEVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G1114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139630119",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R0692",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139630123",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.