Individual provider Active NPI

Roger Dehoyos, APRN

  • Acute Care Nurse Practitioner
  • Crystal City, TX
National Provider Identifier
1396214706
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP139729 Issued in TX
Practice address
1313 Veterans Ave Ste a
Crystal City, TX 78839-1651
Phone
(830) 374-9823
Fax
(830) 374-9858
NPI assigned
Nov 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP139729 TX
Acute Care Nurse Practitioner 363LA2100X AP139729 TX Primary

Addresses

Primary practice location

1313 Veterans Ave Ste a
Crystal City, TX 78839-1651

Mailing address

PO Box 278
Carrizo Springs, TX 78834-6278
Phone (830) 876-9458

Other practice location 1

504 Hospital Dr Ste B
Carrizo Springs, TX 78834-3835
Phone (830) 876-9458

Other identifiers 2

IdentifierTypeStateIssuer
AP139729OtherTXAPRN TX LICENSE #
397437001MedicaidTX

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
I20190507002926 TX Practitioner - Nurse Practitioner 0446592737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Doctors GroupGroup PAC ID 7315918976, 8 clinicians

Practice addresses (Care Compare)

910 S Bryan Rd
Suite 103
Mission, TX 78572-6615
Phone (956) 598-7000

Hospital & facility affiliations

  • Mission Regional Medical Center Hospital, Mission, TX, CCN 450176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP139729TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Corpus Christi CurrentSince Jan 1, 2022 Accepting new patients
Mission Doctors Group CurrentSince Aug 1, 2023 Accepting new patients
Alfonso H Luevano MD P a Past Accepting new patients

Locations

1521 S Staples St
Ste 700
Corpus Christi, TX 78404
Phone (361) 888-8271

910 S Bryan Rd
Ste 103
Mission, TX 78572
Phone (956) 519-3523

910 S Bryan Rd
Ste 205
Mission, TX 78572
Phone (956) 323-9000

910 S Bryan Rd
Ste 104
Mission, TX 78572
Phone (956) 519-9333

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 2

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1396214706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788346278",
            "telephone_number": "830-876-9458",
            "fax_number": "830-876-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 VETERANS AVE STE A",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788391651",
            "telephone_number": "830-374-9823",
            "fax_number": "830-374-9858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Hospital Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Carrizo Springs",
            "state": "TX",
            "postal_code": "788343835",
            "country_code": "US",
            "telephone_number": "830-876-9458",
            "fax_number": "830-876-2411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHOYOS",
        "first_name": "ROGER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-14",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP139729",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP139729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN TX LICENSE #",
            "identifier": "AP139729",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397437001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal City, TX

Sources for this page

Verify at the official NPI Registry.