Individual provider Active NPI

Javier Colon-Polanco, MD

  • Anesthesiology Physician
  • Denison, TX
National Provider Identifier
1427024470
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J5293 Issued in TX
Practice address
2402 W Morton St
Ste 146
Denison, TX 75020-1476
Phone
(903) 465-6043
Fax
(903) 463-4496
NPI assigned
Feb 28, 2006
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J5293 TX Primary

Addresses

Primary practice location

2402 W Morton St
Ste 146
Denison, TX 75020-1476

Mailing address

PO Box 1426
Denison, TX 75021-1426
Phone (903) 465-6043

Other identifiers 3

IdentifierTypeStateIssuer
85X576OtherTXBCBS PROV #
100220200AMedicaidOK
115583002MedicaidTX

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
I20120118000665 TX Practitioner - Anesthesiology 2163569682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Boston University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harlingen Anesthesia AssociatesGroup PAC ID 5294637112, 47 clinicians

Practice addresses (Care Compare)

1040 W Jefferson St
Brownsville, TX 78520-6338
Phone (956) 698-5400

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-2044

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5293TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harlingen Anesthesia Associates Anesthesiology CurrentSince Feb 4, 2015 Accepting new patients
Northstar Anesthesia II PA Anesthesiology CurrentSince Apr 14, 2022 Accepting new patients
Harlingen Anesthesia Associates Anesthesiology Past Accepting new patients
R Lee Ennis MD PA Past Accepting new patients
RGV Pain Management PLLC Past Accepting new patients

Locations

100 E Alton Gloor Blvd
#A
Brownsville, TX 78526
Phone (956) 350-7000

1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

1702 N Ed Carey Dr
Harlingen, TX 78550
Phone (956) 423-4589

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

Organizations & group practices 6

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 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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1427024470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1426",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750211426",
            "telephone_number": "903-465-6043",
            "fax_number": "903-463-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W MORTON ST",
            "address_2": "STE 146",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750201476",
            "telephone_number": "903-465-6043",
            "fax_number": "903-463-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-POLANCO",
        "first_name": "JAVIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J5293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "85X576",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100220200A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115583002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.