Individual provider Active NPI

Ruy Mireles Quintanilla

  • Specialist
  • McAllen, TX
National Provider Identifier
1467458422
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H1627 Issued in TX
Practice address
1910 S 1St St
Ste 200
McAllen, TX 78503-1255
Phone
(956) 687-7885
Fax
(956) 687-3101
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H1627 TX Primary
Neurology Physician 2084N0400X H1627 TX

Addresses

Primary practice location

1910 S 1St St
Ste 200
McAllen, TX 78503-1255

Mailing address

1910 S 1St St
Ste 200
McAllen, TX 78503-1255
Phone (956) 687-7885

Other identifiers 1

IdentifierTypeStateIssuer
032736301MedicaidTX

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
I20110119000845 TX Practitioner - Neurology 6406045715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Texas Neurological Center, P.a.Group PAC ID 2466679204, 2 clinicians

Practice addresses (Care Compare)

1910 S 1St St
Suite 200
McAllen, TX 78503-1255
Phone (956) 687-7885

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Neurological Center, P.a. Neurology CurrentSince Mar 23, 1987 Accepting new patients
McAllen South Open MRI LP Past Accepting new patients

Locations

1910 S 1st St
Ste 200
McAllen, TX 78503
Phone (956) 687-7885

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 and National Provider Directory roles.

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1467458422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S 1ST ST",
            "address_2": "STE 200",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031255",
            "telephone_number": "956-687-7885",
            "fax_number": "956-687-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S 1ST ST",
            "address_2": "STE 200",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031255",
            "telephone_number": "956-687-7885",
            "fax_number": "956-687-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELES QUINTANILLA",
        "first_name": "RUY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H1627",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H1627",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032736301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.