Individual provider Active NPI

William Restrepo, MD

  • Nephrology Physician
  • McAllen, TX
National Provider Identifier
1396854170
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
H8809 Issued in TX
Practice address
409 Lindberg Ave
McAllen, TX 78501
Phone
(956) 682-1508
Fax
(956) 682-0551
NPI assigned
Aug 29, 2006
Last updated
Jul 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X H8809 TX Primary

Addresses

Primary practice location

409 Lindberg Ave
McAllen, TX 78501

Mailing address

409 Lindberg Ave
McAllen, TX 78501
Phone (956) 682-1508

Other identifiers 4

IdentifierTypeStateIssuer
098458502MedicaidTX
098458504MedicaidTX
TXB148540OtherTXMEDICARE
390004619OtherTXRAILROAD MEDICARE NO.

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
I20120423000725 TX Practitioner - NephrologyPractitioner - Internal Medicine 5395827976 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William Restrepo MD PA Nephrology CurrentSince Dec 1, 2012 Accepting new patients
Usrc Valley McAllen LP PastSince Mar 1, 2008 Accepting new patients

Locations

409 Lindberg Ave
McAllen, TX 78501
Phone (956) 682-1508

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1396854170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78501",
            "telephone_number": "956-682-1508",
            "fax_number": "956-682-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78501",
            "telephone_number": "956-682-1508",
            "fax_number": "956-682-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTREPO",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "H8809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098458502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098458504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB148540",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NO.",
            "identifier": "390004619",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.