Individual provider Active NPI

Roel Contreras

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1336353390
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01794 Issued in TX
Practice address
801 E Nolana Ave Ste 9
McAllen, TX 78504-6113
Phone
(956) 668-7333
Fax
(956) 668-7999
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01794 TX Primary

Addresses

Primary practice location

801 E Nolana Ave Ste 9
McAllen, TX 78504-6113

Mailing address

801 E Nolana Ave Ste 9
McAllen, TX 78504-6113
Phone (956) 668-7333

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140306001074 TX Practitioner - Physician Assistant 9234369513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1920 E Griffin Pkwy
Mission, TX 78572-3106
Phone (956) 584-3357

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monzer H Yazji MD & Associates PLLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

1920 E Griffin Pkwy
Mission, TX 78572
Phone (956) 584-3353

Interoperability endpoints

  • Direct secure messaging: roel.contreras.1@33464.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1336353390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE STE 9",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046113",
            "telephone_number": "956-668-7333",
            "fax_number": "956-668-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE STE 9",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046113",
            "telephone_number": "956-668-7333",
            "fax_number": "956-668-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "ROEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.