Organization Active NPI

Luis Delgado Jr MD PA

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1508070038
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H4279 Issued in TX
Legal business name
LUIS DELGADO JR MD PA
Practice address
5128 N 10TH St
McAllen, TX 78504-2834
Phone
(956) 631-3831
Fax
(956) 631-5537
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Luis Delgado Jr., M.D.
Title
President Owner
Phone
(956) 631-3831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X H4279 TX Primary

Addresses

Primary practice location

5128 N 10TH St
McAllen, TX 78504-2834

Mailing address

5128 N 10TH St
McAllen, TX 78504-2834
Phone (956) 631-3831

Other identifiers 6

IdentifierTypeStateIssuer
217464101MedicaidTX
111744202MedicaidTX
111744204MedicaidTX
217464102MedicaidTX
DR8589OtherTXRAILROAD MEDICARE
111744203OtherTXMEDICAID EPSDT

Other names 1

  • Northside Family Medical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0700478Northside Family Medical Center5128 North 10TH Street, McAllen, TX 78504Certificate of waiverJul 30, 2027
45D2323633Quest Diagnostics Northside Family Medical Center5128 N 10TH St, McAllen, TX 78504Certificate of waiverMay 8, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1508070038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 N 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042834",
            "telephone_number": "956-631-3831",
            "fax_number": "956-618-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 N 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042834",
            "telephone_number": "956-631-3831",
            "fax_number": "956-631-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS DELGADO JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "956-631-3831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217464101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111744202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111744204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217464102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR8589",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID EPSDT",
            "identifier": "111744203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.