NPIMap

Individual provider Active NPI

Russell Mascarenhas, M.D.

  • Family Medicine Physician
  • Refugio, TX
National Provider Identifier
1497863906
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K0920 Issued in TX
Practice address
107 1/2 Swift St
Refugio, TX 78377-2425
Phone
(361) 526-5328
Fax
(361) 526-5670
NPI assigned
Aug 25, 2006
Last updated
Aug 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K0920 TX Primary

Addresses

Primary practice location

107 1/2 Swift St
Refugio, TX 78377-2425

Mailing address

107 1/2 Swift St
Refugio, TX 78377-2425
Phone (361) 526-5328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000102 TX Practitioner - Internal MedicinePractitioner - Family Practice 8123209434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

107 Swift St
Refugio, TX 78377-2425
Phone 3615262321138

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Refugio County Memorial Hospital District Current Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Refugio II Enterprises, L.L.C. Past Accepting new patients
Refugio County Memorial Hospital District Past Accepting new patients
Goliad I Enterprises, L.L.C. Past Accepting new patients

Locations

107 Swift St
Refugio, TX 78377
Phone (361) 526-2321

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7f96711f-afb0-4764-969a-c5d57fe30c59/

Organizations & group practices 6

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 9

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1497863906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 1/2 SWIFT ST",
            "city": "REFUGIO",
            "state": "TX",
            "postal_code": "783772425",
            "telephone_number": "361-526-5328",
            "fax_number": "361-526-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 1/2 SWIFT ST",
            "city": "REFUGIO",
            "state": "TX",
            "postal_code": "783772425",
            "telephone_number": "361-526-5328",
            "fax_number": "361-526-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARENHAS",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Refugio, TX

Sources for this page

Verify at the official NPI Registry.