Individual provider Active NPI

Claudia Viviana Colmenares, M.D.

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1518320324
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9201 Issued in TX
Practice address
4422 S McColl Rd
Edinburg, TX 78539-9608
Phone
(956) 800-4378
Fax
(956) 800-4379
NPI assigned
Mar 30, 2016
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 R9201 TX Primary

Addresses

Primary practice location

4422 S McColl Rd
Edinburg, TX 78539-9608

Mailing address

4422 S McColl Rd
Edinburg, TX 78539-9608
Phone (956) 800-4378

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
I20190701000889 TX Practitioner - Family Practice 1456640085 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9201TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Family Medicine and Wellness Center PLLC Multi-Specialty CurrentSince May 1, 2023 Accepting new patients
Dr. Diagne Premier OB GYN PA Multi-Specialty CurrentSince Jul 15, 2019 Accepting new patients

Locations

4422 S McColl Rd
Edinburg, TX 78539
Phone (956) 777-5110

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1518320324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399608",
            "telephone_number": "956-800-4378",
            "fax_number": "956-618-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399608",
            "telephone_number": "956-800-4378",
            "fax_number": "956-800-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLMENARES",
        "first_name": "CLAUDIA",
        "middle_name": "VIVIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.