Charles Patrick Theivagt, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

M3764 Issued in TX

Practice address

510 Victoria LN Ste 5
Harlingen, TX 78550-3231

Phone

(956) 362-8920

Fax

(956) 362-8935

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Otolaryngology

Education

Southern Illinois University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Renaissance Medical Foundation

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1467633867

  Otolaryngology

  Medicare reassignment Care Compare group NPD
• Valley Ear Nose & Throat Specialist PA

  • Otolaryngology Physician
  • McAllen, TX
  • NPI 1386648798
  Medicare reassignment NPD Authorized official
• Clinical Associates, Inc

  • Certified Registered Nurse Anesthetist
  • Grapevine, TX
  • NPI 1518265966
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital at Renaissance, LTD

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1104338052

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1396840682",
    "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": "956-362-8920",
            "fax_number": "956-362-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 VICTORIA LN STE 5",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503231",
            "telephone_number": "956-362-8920",
            "fax_number": "956-362-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIVAGT",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M3764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396840682",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Medical Team Inc
• The Medical Team Inc
• The Psych Nurse, Inc.
• The University of Texas Rio Grande Valley
• The Wentworth Institute of Plastic and Reconstructive Surgery, PLLC
• Theracovery LLC
• Therapy and Consulting Services
• Therapy to Go, Inc.
• This Is My Home LLC
• Deborah Gloria-Sajan Thomas, DO

• Otolaryngology Physician in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.