Individual provider Active NPI

Luis G San Miguel, D.O.

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1508830985
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5201 Issued in TX
Practice address
301 W Expressway 83
McAllen, TX 78503-3045
Phone
(956) 632-4000
Fax
(956) 961-4286
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X K5201 TX
Family Medicine Physician 207Q00000X K5201 TX Primary

Addresses

Primary practice location

301 W Expressway 83
McAllen, TX 78503-3045

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (956) 632-4000

Other practice location 1

713 N Ware Rd
McAllen, TX 78501-6616
Phone (956) 682-8496

Other identifiers 4

IdentifierTypeStateIssuer
TXB145154OtherTXWELLMED MEDICAL GROUP PA
156530101MedicaidTX
112000804MedicaidTX
156530102MedicaidTX

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
I20100115000776 TX Practitioner - Family PracticePractitioner - Hospitalist 7113077140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAllen Hospitalist Group PLLCGroup PAC ID 9830113836, 106 clinicians

Practice addresses (Care Compare)

301 W Expressway
Suite 83
McAllen, TX 78503-3045
Phone (956) 632-4000

Hospital & facility affiliations

  • South Texas Health System Hospital, Edinburg, TX, CCN 450119

Merit-based Incentive Payment System (MIPS)

Final score
78.35 of 100Reported as group
Quality
50.62
Promoting interoperability
95
Improvement activities
20
Cost
73.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Hospitalist Group, PLLC Family Medicine CurrentSince Mar 5, 2018 Accepting new patients
San Miguel Family Medical Clinic, P.a. Family Medicine PastSince Mar 11, 2009 Accepting new patients
McAllen Hospitals L P Past Accepting new patients

Locations

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508830985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "956-632-4000",
            "fax_number": "956-961-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W EXPRESSWAY 83",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785033045",
            "telephone_number": "956-632-4000",
            "fax_number": "956-961-4286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 N Ware Rd",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785016616",
            "country_code": "US",
            "telephone_number": "956-682-8496",
            "fax_number": "956-682-0590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAN MIGUEL",
        "first_name": "LUIS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "K5201",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAL GROUP PA",
            "identifier": "TXB145154",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156530101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112000804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156530102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.