Individual provider Active NPI

Hugo Rodriguez Tolentino, M.D.

  • Anesthesiology Physician
  • Corpus Christi, TX
National Provider Identifier
1487647475
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J7861 Issued in TX
Practice address
6130 Parkway Dr
Corpus Christi, TX 78414-2455
Phone
(361) 883-6211
Fax
(361) 882-4891
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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 J7861 TX Primary

Addresses

Primary practice location

6130 Parkway Dr
Corpus Christi, TX 78414-2455

Mailing address

4455 S Padre Island Dr Ste 11
Corpus Christi, TX 78411-5163
Phone (361) 883-6211

Other identifiers 1

IdentifierTypeStateIssuer
039737401MedicaidTX

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
I20100921001327 TX Practitioner - Anesthesiology 7517083017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acema Group, PAGroup PAC ID 6901955244, 10 clinicians
Gulf Shore Anesthesia Associates PAGroup PAC ID 3173412806, 17 clinicians

Practice addresses (Care Compare)

2302 Cornerstone Blvd
Edinburg, TX 78539-8471
Phone (956) 571-3435

6130 Pkwy Dr
Corpus Christi, TX 78414-2455
Phone (361) 993-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J7861TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia II PA Anesthesiology CurrentSince Jun 1, 2018 Accepting new patients
Acema Group, PA Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Gulf Shore Anesthesia Associates PA Anesthesiology CurrentSince Sep 18, 1995 Accepting new patients
Christus Spohn Health System Corporation PastSince Jan 1, 2018 Accepting new patients

Locations

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

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

5641 Esplanade Dr
Corpus Christi, TX 78414
Phone (361) 245-0400

4455 S Padre Island Dr
Ste 11
Corpus Christi, TX 78411
Phone (361) 855-8900

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

5734 Spohn Dr
Ste B
Corpus Christi, TX 78414
Phone (361) 653-1125

2302 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 571-3435

Organizations & group practices 4

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1487647475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR STE 11",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115163",
            "telephone_number": "361-883-6211",
            "fax_number": "361-882-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 PARKWAY DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142455",
            "telephone_number": "361-883-6211",
            "fax_number": "361-882-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "HUGO",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J7861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039737401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.