Individual provider Active NPI

Jerry Xavier Pallares, MD

  • Diagnostic Radiology Physician
  • Harlingen, TX
National Provider Identifier
1366424814
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J6643 Issued in TX
Practice address
24399 N Dilworth Rd
Harlingen, TX 78552-2491
Phone
(956) 564-9392
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J6643 TX Primary

Addresses

Primary practice location

24399 N Dilworth Rd
Harlingen, TX 78552-2491

Mailing address

24399 N Dilworth Rd
Harlingen, TX 78552-2491
Phone (956) 564-9392

Other identifiers 2

IdentifierTypeStateIssuer
039690501MedicaidTX
39690503MedicaidTX

Other names 1

  • Jerry Pallares Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miguel Oneto, MD, PA Diagnostic Radiology Past Accepting new patients
Quality Radiology, PLLC Past Accepting new patients
Renaissance Radiology Associates PLLC Diagnostic Radiology Past Accepting new patients
Renaissance Cardiology Group PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 4

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1366424814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24399 N DILWORTH RD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785522491",
            "telephone_number": "956-564-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24399 N DILWORTH RD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785522491",
            "telephone_number": "956-564-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLARES",
        "first_name": "JERRY",
        "middle_name": "XAVIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J6643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039690501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39690503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "PALLARES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.