Individual provider Active NPI

Nelson Jesus Spinetti, M.D.

  • Pediatric Gastroenterology Physician
  • Edinburg, TX
National Provider Identifier
1578639340
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
L8516 Issued in TX
Practice address
2707 Cornerstone Blvd
Edinburg, TX 78539-8464
Phone
(956) 682-2244
Fax
(956) 682-5544
NPI assigned
Nov 25, 2006
Last updated
Mar 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X L8516 TX Primary

Addresses

Primary practice location

2707 Cornerstone Blvd
Edinburg, TX 78539-8464

Mailing address

PO Box 3083
McAllen, TX 78502-3083
Phone (956) 682-2244

Other identifiers 2

IdentifierTypeStateIssuer
165172102MedicaidTX
192121501MedicaidTX

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
I20041027000088 TX Practitioner - GastroenterologyPractitioner - Pediatric Medicine 3375505969 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8516TXMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center at Ridge Plaza LP CurrentSince Jan 12, 2021 Accepting new patients
McAllen Gastroenterology Clinic LP CurrentSince Apr 1, 2021 Accepting new patients
Nelson Spinetti MD PA Pediatric Gastroenterology Past Accepting new patients
Rio Grande Valley Pediatric Gastroenterology, P.a. Pediatric Gastroenterology Past Accepting new patients

Locations

516 S Closner Blvd
Edinburg, TX 78539
Phone (956) 661-1333

1200 E Savannah Ave
Ste 15
McAllen, TX 78503
Phone (956) 687-2673

1900 S Jackson Rd
Ste 11
McAllen, TX 78503
Phone (956) 661-1333

Organizations & group practices 4

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": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1578639340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3083",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785023083",
            "telephone_number": "956-682-2244",
            "fax_number": "956-682-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398464",
            "telephone_number": "956-682-2244",
            "fax_number": "956-682-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINETTI",
        "first_name": "NELSON",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-25",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "TX",
            "license": "L8516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165172102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192121501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.