Individual provider Active NPI

Miguel Angel Petrozzi, M.D., P.A.

  • Neurology Physician
  • Edinburg, TX
National Provider Identifier
1366587727
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M1290 Issued in TX
Practice address
1102 W Trenton Rd
Edinburg, TX 78539
Phone
(956) 742-1077
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X M1290 TX Primary

Addresses

Primary practice location

1102 W Trenton Rd
Edinburg, TX 78539

Mailing address

PO Box 530654
Harlingen, TX 78553-0654
Phone (956) 742-1077

Other practice location 1

1474 W Price Rd
#460
Brownsville, TX 78520-8687
Phone (956) 350-0779

Other practice location 2

425 E Los Ebanos Blvd Ste 100
Brownsville, TX 78520-8482
Phone (956) 546-3116

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
I20121106000249 TX Practitioner - Neurology 1153572862 Reassigns benefits to 2 organizations
Practice locations: Brownsville, TX; Edinburg, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1290TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leonardo Garcia M.D., PA CurrentSince Sep 1, 2018 Accepting new patients
Miguel a Petrozzi MD PA Past Accepting new patients
Rafael Villalobos MD PA Past Accepting new patients

Locations

2010 S Cynthia St
Ste 106
McAllen, TX 78503
Phone (956) 687-3318

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1366587727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530654",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785530654",
            "telephone_number": "956-742-1077",
            "fax_number": "956-626-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-742-1077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1474 W Price Rd",
            "address_2": "#460",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785208687",
            "country_code": "US",
            "telephone_number": "956-350-0779",
            "fax_number": "956-350-5858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 E Los Ebanos Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785208482",
            "country_code": "US",
            "telephone_number": "956-546-3116",
            "fax_number": "956-546-8793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETROZZI",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "M.D., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M1290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.