Samuel Isaac Iglesias, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07250 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 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

98.1 of 100Reported as group

Quality

86

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Physician Assistant

State licenses

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1366738163",
    "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": "956-362-8290",
            "fax_number": "956-362-8295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "SAMUEL",
        "middle_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Guadalupe Ibarra, D.O.
• Claudia Ibarra
• Daniella Abygayl Ibarra
• Marina A Ibarra, LPC
• Dana Carolina Idrogo
• Eberechukwu Iheanacho, DDS
• Ikon Ehealth Services LLC (TeleVIDA RGV)
• Desmond Okey Ikondu, MD
• Ilesheim Health Clinic
• Vasanthika Imandi, MD

• Physician Assistant in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Physician Assistant 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.