Individual provider Active NPI

Michael Dru Abrego, PA-C

  • Critical Care Medicine Nurse Practitioner
  • Texas City, TX
National Provider Identifier
1396040903
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
PA07194 Issued in TX
Practice address
6807 Emmett F Lowry Expy
Suite 303
Texas City, TX 77591-2546
Phone
(409) 935-2995
Fax
(409) 935-3433
NPI assigned
Jan 13, 2011
Last updated
Apr 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA07194 TX
Acute Care Nurse Practitioner 363LA2100X PA07194 TX
Critical Care Medicine Nurse Practitioner 363LC0200X PA07194 TX Primary

Addresses

Primary practice location

6807 Emmett F Lowry Expy
Suite 303
Texas City, TX 77591-2546

Mailing address

6807 Emmett F Lowry Expy
Suite 303
Texas City, TX 77591-2546
Phone (409) 935-2995

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000444 TX Practitioner - Physician Assistant 5698956498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainland Pulmonary Associates PLLCGroup PAC ID 0244570927, 3 clinicians

Practice addresses (Care Compare)

6409 Memorial Dr
Texas City, TX 77591-4057
Phone (409) 935-2995

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1396040903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 EMMETT F LOWRY EXPY",
            "address_2": "SUITE 303",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912546",
            "telephone_number": "409-935-2995",
            "fax_number": "409-935-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 EMMETT F LOWRY EXPY",
            "address_2": "SUITE 303",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912546",
            "telephone_number": "409-935-2995",
            "fax_number": "409-935-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREGO",
        "first_name": "MICHAEL",
        "middle_name": "DRU",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07194",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "PA07194",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "PA07194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.