Individual provider Active NPI

Jacinto A Obregon, MD

  • Family Medicine Physician
  • Gatesville, TX
National Provider Identifier
1396936019
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1026 Issued in TX
Practice address
319 Highway 36 Byp S
Gatesville, TX 76528-2741
Phone
(254) 248-6500
Fax
(254) 248-6594
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N1026 TX Primary

Addresses

Primary practice location

319 Highway 36 Byp S
Gatesville, TX 76528-2741

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800

Other identifiers 3

IdentifierTypeStateIssuer
198926101MedicaidTX
P00668436OtherTXRAILROAD MEDICARE
8A9679OtherTXBC BS TEXAS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jobregon283923@direct.sw.org Direct

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
I20081230000423 TX Practitioner - Family PracticePractitioner - Emergency Medicine 7012079924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Area Primary Care, PLLCGroup PAC ID 9537237482, 19 clinicians

Practice addresses (Care Compare)

3201 S Austin Ave
Suite 210
Georgetown, TX 78626-7639
Phone (512) 763-4000

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Primary Care, PLLC Family Medicine CurrentSince Jan 7, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3201 S Austin Ave
Ste 210
Georgetown, TX 78626
Phone (512) 763-4000

Interoperability endpoints

  • Direct secure messaging: jacinto.obregon@hca8.eclinicaldirectplus.com
  • Direct secure messaging: 2373-jacinto-obregon@direct.leadingreach.com
  • FHIR API: https://api.platform.athenahealth.com/3648/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1396936019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HIGHWAY 36 BYP S",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282741",
            "telephone_number": "254-248-6500",
            "fax_number": "254-248-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBREGON",
        "first_name": "JACINTO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198926101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00668436",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS TEXAS",
            "identifier": "8A9679",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jobregon283923@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "319 Highway 36 Byp S",
            "city": "Gatesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765282741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gatesville, TX

Sources for this page

Verify at the official NPI Registry.