Individual provider Active NPI

Robert Sepulveda, M.D.

  • Internal Medicine Physician
  • Weslaco, TX
National Provider Identifier
1366473258
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H3522 Issued in TX
Practice address
1206 E 6TH St
Weslaco, TX 78596-6420
Phone
(956) 447-8377
Fax
(956) 973-8034
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H3522 TX Primary

Addresses

Primary practice location

1206 E 6TH St
Weslaco, TX 78596-6420

Mailing address

1206 E 6TH St Ste 5
Weslaco, TX 78596-6420
Phone (956) 447-8377

Other identifiers 1

IdentifierTypeStateIssuer
122509604MedicaidTX

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
I20050218000489 TX Practitioner - Internal Medicine 8820040785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monzer H Yazji MD and Associates PLLCGroup PAC ID 2062470529, 83 clinicians

Practice addresses (Care Compare)

1206 E 6TH St
Weslaco, TX 78596-6420
Phone (956) 447-8377

Hospital & facility affiliations

  • Genuine Healthcare Services Home health agency, McAllen, TX, CCN 747702
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119
  • Knapp Medical Center Hospital, Weslaco, TX, CCN 450128
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H3522TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juan Joel Garza, MD PA Past Accepting new patients
Robert Sepulveda MD Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robert.sepulveda@rsepulveda.direct.emds.com
  • Direct secure messaging: robert.sepulveda.1@33464.direct.athenahealth.com

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.

Hospital & facility affiliations 7

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1366473258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E 6TH ST STE 5",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966420",
            "telephone_number": "956-447-8377",
            "fax_number": "956-973-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966420",
            "telephone_number": "956-447-8377",
            "fax_number": "956-973-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H3522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122509604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.