Individual provider Active NPI

Americo M Baca, M.D.

  • Family Medicine Physician
  • San Juan, TX
National Provider Identifier
1336168129
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H9597 Issued in TX
Practice address
722 S Nebraska Ave
San Juan, TX 78589-2650
Phone
(956) 783-7088
Fax
(956) 783-5657
NPI assigned
Jul 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H9597 TX Primary

Addresses

Primary practice location

722 S Nebraska Ave
San Juan, TX 78589-2650

Mailing address

PO Box 502
McAllen, TX 78505-0502
Phone (956) 783-7088

Other identifiers 1

IdentifierTypeStateIssuer
130784504MedicaidTX

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
I20090507000358 TX Practitioner - Family Practice 8527116219 Reassigns benefits to 1 organization
Practice locations: San Juan, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

722 S Nebraska Ave
San Juan, TX 78589-2650
Phone (956) 884-7100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baca Family Practice PLLC Family Medicine CurrentSince May 1, 2022 Accepting new patients
Dr Americo M Baca PLLC PastSince Jan 1, 1990 Accepting new patients

Locations

722 S Nebraska Ave
San Juan, TX 78589
Phone (956) 783-7088

Interoperability endpoints

  • Direct secure messaging: americo.baca@476190948130820.direct.elationemr.com

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 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336168129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785050502",
            "telephone_number": "956-783-7088",
            "fax_number": "956-783-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S NEBRASKA AVE",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892650",
            "telephone_number": "956-783-7088",
            "fax_number": "956-783-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "AMERICO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130784504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

Verify at the official NPI Registry.