Organization Active NPI

Medwin Family Medicine & Rehabilitation PC

  • Family Medicine Physician
  • Brownsville, TX
National Provider Identifier
1437370103
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDWIN FAMILY MEDICINE & REHABILITATION PC
Practice address
315 Jose Marti Blvd
Brownsville, TX 78526-2868
Phone
(956) 546-7530
Fax
(956) 546-7531
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Manjula Raguthu, MDNPI 1932162617
Title
President
Phone
(956) 546-7530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

315 Jose Marti Blvd
Brownsville, TX 78526-2868

Mailing address

PO Box 5386
Brownsville, TX 78523-5386
Phone (956) 546-7530

Other practice location 1

1235 Lake Pointe Pkwy Ste 103
Sugar Land, TX 77478-4077
Phone (832) 532-0040

Other identifiers 1

IdentifierTypeStateIssuer
176203101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050516001039 TX Part B Supplier - Clinic/Group Practice 5799726105 Receives reassigned benefits from 2 practitioners
Practice locations: Brownsville, TX; Weslaco, TX; Sugar Land, TX; McAllen, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1437370103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5386",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785235386",
            "telephone_number": "956-546-7530",
            "fax_number": "956-546-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 JOSE MARTI BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785262868",
            "telephone_number": "956-546-7530",
            "fax_number": "956-546-7531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Lake Pointe Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774784077",
            "country_code": "US",
            "telephone_number": "832-532-0040",
            "fax_number": "855-518-2084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDWIN FAMILY MEDICINE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "RAGUTHU",
        "authorized_official_first_name": "MANJULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-546-7530",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176203101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.