Individual provider Active NPI

Martha Carmen Medina, PA - C

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1477791192
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 05420 Issued in TX
Practice address
5201 N 10TH St
McAllen, TX 78504-2708
Phone
(956) 631-5411
Fax
(956) 631-7129
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 05420 TX Primary

Addresses

Primary practice location

5201 N 10TH St
McAllen, TX 78504-2708

Mailing address

5201 N 10TH St
McAllen, TX 78504-2708
Phone (956) 631-5411

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091123000393 TX Practitioner - Physician Assistant 0547309072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

502 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 292-0100

5201 N 10TH St
McAllen, TX 78504-2708
Phone (956) 631-5411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 05420TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monzer H Yazji MD & Associates PLLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

Interoperability endpoints

  • Direct secure messaging: martha.medina.1@33464.direct.athenahealth.com

Organizations & group practices 3

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 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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1477791192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 N 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042708",
            "telephone_number": "956-631-5411",
            "fax_number": "956-631-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 N 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042708",
            "telephone_number": "956-631-5411",
            "fax_number": "956-631-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MARTHA",
        "middle_name": "CARMEN",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 05420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.