Organization Active NPI

Endoscopy Center at Ridge Plaza LP

Doing business as Endoscopy Center at Medpoint

  • Ambulatory Surgical Clinic/Center
  • McAllen, TX
National Provider Identifier
1346288032
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ENDOSCOPY CENTER AT RIDGE PLAZA LP
Doing business as
Endoscopy Center at Medpoint
Practice address
1200 E Savannah Ave
Suite 15
McAllen, TX 78503-1727
Phone
(956) 687-2673
Fax
(956) 631-1091
NPI assigned
Jun 3, 2006
Last updated
Jan 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Carlos Guerra
Title
Administrator
Phone
(956) 687-2673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1200 E Savannah Ave
Suite 15
McAllen, TX 78503-1727

Mailing address

1200 E Savannah Ave
Suite 15
McAllen, TX 78503-1728
Phone (956) 687-2673

Other identifiers 3

IdentifierTypeStateIssuer
P00056761OtherTXRAILROAD MEDICARE
163422201MedicaidTX
HH070AOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Endoscopy Center at Medpoint Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031107000373 TX Part B Supplier - Ambulatory Surgical Center 3678486537 Receives reassigned benefits from 1 practitioner
Practice locations: McAllen, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Endoscopy Center at Ridge Plaza LPCCN 45C0001339
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2028702Endoscopy Center at Ridge Plaza LP Laboratory1200 E Savannah Ave Suite 15, McAllen, TX 78503Certificate of waiverAug 22, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1200 E Savannah Ave
Ste 15
McAllen, TX 78503
Phone (956) 687-2673

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1346288032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E SAVANNAH AVE",
            "address_2": "SUITE 15",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031728",
            "telephone_number": "956-687-2673",
            "fax_number": "956-631-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E SAVANNAH AVE",
            "address_2": "SUITE 15",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031727",
            "telephone_number": "956-687-2673",
            "fax_number": "956-631-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER AT RIDGE PLAZA LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-687-2673"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00056761",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163422201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH070A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endoscopy Center at Medpoint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, 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.
  • 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.

Verify at the official NPI Registry.