Individual provider Active NPI

Isaias Garza Jr., M.D.

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1558406116
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H1087 Issued in TX
Practice address
1516 Demaret CT
Laredo, TX 78045-7542
Phone
(956) 334-0477
Fax
(956) 441-1650
NPI assigned
Feb 21, 2007
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 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 H1087 TX Primary

Addresses

Primary practice location

1516 Demaret CT
Laredo, TX 78045-7542

Mailing address

1516 Demaret CT
Laredo, TX 78045-7542
Phone (956) 334-0477

Other identifiers 3

IdentifierTypeStateIssuer
121506303OtherTXMEDICAID EPSDT
121506301MedicaidTX
742434164OtherTXPRIVATE INSURANCE

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
I20040819000523 TX Practitioner - Emergency MedicinePractitioner - Family Practice 0446223184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.06 of 100Reported as group
Quality
81.25
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.7 of 100Reported as group
Quality
89.53
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H1087TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAdams Emergency Medicine Associates, PA CurrentSince Sep 25, 2021 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 1, 2021 Accepting new patients
Webb Emergency Medicine Associates PA CurrentSince Aug 30, 2012 Accepting new patients
Isaias Garza Jr PLLC PastSince Jan 12, 2020 Accepting new patients
City of Laredo Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

1300 E Saunders St
Laredo, TX 78041
Phone (956) 815-4470

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

Organizations & group practices 5

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1558406116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 DEMARET CT",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780457542",
            "telephone_number": "956-334-0477",
            "fax_number": "956-441-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 DEMARET CT",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780457542",
            "telephone_number": "956-334-0477",
            "fax_number": "956-441-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "ISAIAS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H1087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID EPSDT",
            "identifier": "121506303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121506301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "742434164",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.