Individual provider Active NPI

Edward Requenez, MD

  • Anesthesiology Physician
  • McAllen, TX
National Provider Identifier
1346493772
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
P6900 Issued in TX
Practice address
101 E Ridge Rd
McAllen, TX 78503-1847
Phone
(956) 632-6020
NPI assigned
Oct 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X P6900 TX
Anesthesiology Physician 207L00000X P6900 TX Primary

Addresses

Primary practice location

101 E Ridge Rd
McAllen, TX 78503-1847

Mailing address

222 E Ridge Rd Ste 204
McAllen, TX 78503-1251
Phone (956) 632-6020

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
I20130823000217 TX Practitioner - Anesthesiology 3678716677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Columbia University College of Physicians and Surgeons, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 E Ridge Rd
Rio Grande Regional Hospital
McAllen, TX 78503-1847
Phone (956) 632-6000

Hospital & facility affiliations

  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Anesthesia & Pain Medicine Consultants, P.a. Anesthesiology CurrentSince Jul 15, 2013 Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P .a. Pediatric Anesthesiology PastSince May 7, 2024 Accepting new patients

Locations

222 E Ridge Rd
Ste 204
McAllen, TX 78503
Phone (956) 362-6744

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

1809 S Cynthia St
McAllen, TX 78503
Phone (956) 618-4402

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.

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": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1346493772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E RIDGE RD STE 204",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031251",
            "telephone_number": "956-632-6020",
            "fax_number": "956-630-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E RIDGE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031847",
            "telephone_number": "956-632-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REQUENEZ",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "TX",
            "license": "P6900",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P6900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.