Individual provider Active NPI

Anna Atencio, D.O.

  • Family Medicine Physician
  • Alton, TX
National Provider Identifier
1457791618
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q9781 Issued in TX
Practice address
306 E Main Ave
Suite 5 & 6
Alton, TX 78573-6955
Phone
(956) 424-7655
Fax
(956) 424-7049
NPI assigned
Jul 2, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125062559 IL
Family Medicine Physician 207Q00000X Q9781 TX Primary

Addresses

Primary practice location

306 E Main Ave
Suite 5 & 6
Alton, TX 78573-6955

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (956) 424-7655

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
I20160930000059 TX Practitioner - Family Practice 2365739638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Western University of Health Sciences College of Dental Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAllen Hospitalist Group PLLCGroup PAC ID 9830113836, 106 clinicians

Practice addresses (Care Compare)

1200 S 10TH Ave
Edinberg, TX 78539-5516
Phone (956) 292-0781

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125062559ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Hospitalist Group, PLLC Family Medicine CurrentSince Oct 3, 2016 Accepting new patients

Locations

306 E Main Ave
Ste 5
Alton, TX 78573
Phone (956) 424-7655

306 E Main Ave
Ste 6
Alton, TX 78573
Phone (956) 597-3005

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

1200 S 10th Ave
Edinburg, TX 78539
Phone (956) 292-0781

300 E Mile 3 Rd
Unit 190
Palmhurst, TX 78573
Phone (956) 997-3344

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457791618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "956-424-7655",
            "fax_number": "956-424-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAIN AVE",
            "address_2": "SUITE 5 & 6",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785736955",
            "telephone_number": "956-424-7655",
            "fax_number": "956-424-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATENCIO",
        "first_name": "ANNA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125062559",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, TX

Sources for this page

Verify at the official NPI Registry.