Individual provider Active NPI

Antonio Degorordo Arzamendi, M.D.

  • Pulmonary Disease Physician
  • McAllen, TX
National Provider Identifier
1497890198
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
P1858 Issued in TX
Practice address
5300 N G St Ste 110
McAllen, TX 78504-6550
Phone
(956) 450-3093
Fax
(833) 974-2212
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X P1858 TX
Pulmonary Disease Physician 207RP1001X P1858 TX Primary

Addresses

Primary practice location

5300 N G St Ste 110
McAllen, TX 78504-6550

Mailing address

PO Box 6148
McAllen, TX 78502-6148
Phone (956) 362-8677

Other practice location 1

1112 E Griffin Pkwy Ste D
Mission, TX 78572-2408
Phone (956) 450-3093

Other practice location 2

5501 S McColl Rd
Edinburg, TX 78539-9152
Phone (956) 362-8677

Other identifiers 1

IdentifierTypeStateIssuer
P1858OtherTXTEXAS MEDICAL BOARD LICENSE

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
I20120802000671 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2365698552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ICU Dynamics PLLCGroup PAC ID 5698172286, 6 clinicians
Renaissance ICU GroupGroup PAC ID 6103213483, 14 clinicians

Practice addresses (Care Compare)

5300 N G St
Suite 110
McAllen, TX 78504-6550
Phone (956) 450-3093

900 S Bryan Rd
Mission, TX 78572-6613
Phone (956) 362-8677

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance ICU Group Critical Care Medicine CurrentSince Mar 8, 2022 Accepting new patients
ICU Dynamics PLLC Pulmonary Disease CurrentSince Jul 26, 2021 Accepting new patients
Doctors Hospital at Renaissance, LTD Past Accepting new patients

Locations

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

5300 N G St
Ste 110
McAllen, TX 78504
Phone (956) 222-6077

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

1112 E Griffin Pkwy
Ste D
Mission, TX 78572
Phone (956) 450-3093

Interoperability endpoints

  • Direct secure messaging: antonio.degorordo.1@24458.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24458/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/

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 4

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1497890198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6148",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785026148",
            "telephone_number": "956-362-8677",
            "fax_number": "956-362-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 N G ST STE 110",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046550",
            "telephone_number": "956-450-3093",
            "fax_number": "833-974-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 E Griffin Pkwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785722408",
            "country_code": "US",
            "telephone_number": "956-450-3093",
            "fax_number": "956-631-9822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 S McColl Rd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785399152",
            "country_code": "US",
            "telephone_number": "956-362-8677",
            "fax_number": "956-362-7253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGORORDO ARZAMENDI",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "P1858",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "P1858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD LICENSE",
            "identifier": "P1858",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.