Delisa Eva Guadarrama, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

Q7693 Issued in TX

Practice address

2821 Michaelangelo Dr Ste 204
Edinburg, TX 78539-1423

Phone

(956) 362-8290

Fax

(956) 362-8295

NPI assigned

Jun 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Psychiatry

Education

University of Texas Medical School at San Antonio, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.1 of 100Reported as group

Quality

86

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/

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.

• Renaissance Medical Foundation

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1467633867

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Coastal Plains Community MHMR Center

  • Psychiatry Physician
  • Portland, TX
  • NPI 1962552109
  Medicare reassignment NPD
• Children'S Physician Services of South Texas

  • Plastic Surgery Physician
  • Corpus Christi, TX
  • NPI 1568658227
  Medicare reassignment
• Coastal Plains Community MHMR Center

  • Case Manager/Care Coordinator
  • Portland, TX
  • NPI 1861544124
  NPD
• The University of Texas Rio Grande Valley

  • Internal Medicine Physician
  • Harlingen, TX
  • NPI 1477960730

  Psychiatry

  NPD
• Coastal Plains Community MHMR Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, TX
  • NPI 1194104026
  NPD (past)
• Doctors Hospital at Renaissance, LTD

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  NPD (past)
• Doctors Hospital at Renaissance, LTD

  • Psychiatric Hospital Unit
  • Edinburg, TX
  • NPI 1568657583
  NPD (past)
• University of Texas Rio Grande Valley

  • Physiological Laboratory
  • Harlingen, TX
  • NPI 1689330649
  NPD (past)

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1356637227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-8290",
            "fax_number": "956-362-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MICHAELANGELO DR STE 204",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391423",
            "telephone_number": "956-362-8290",
            "fax_number": "956-362-8295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Michaelangelo Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785391406",
            "country_code": "US",
            "telephone_number": "956-362-8289",
            "fax_number": "956-362-8295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUADARRAMA",
        "first_name": "DELISA",
        "middle_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q7693",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "Q7693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3652737-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08MN08301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Gresham, CRNA
• Marsha Rae Griffin, M.D.
• Grimaldito'S PHC, LLC.
• Ainsley Ann Groetken
• Dane David Gruenebaum, DO
• Anahi Guajardo, LVN
• Guadalupe Guajardo III, BS ASST SLP
• Maria Ruby Guajardo, M.D.
• Tatiana Jessica Guardado
• Amy Lorraine Guerra

• Child & Adolescent Psychiatry Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.