NPIMap

Organization Active NPI

Guadalupe Regional Medical Group

  • Multi-Specialty Clinic/Center
  • Seguin, TX
National Provider Identifier
1578873717
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GUADALUPE REGIONAL MEDICAL GROUP
Practice address
105 Medical
Seguin, TX 78155-5392
Phone
(830) 401-7558
NPI assigned
Oct 20, 2010
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Monica Yvette Carter
Title
Credentialing & Provider Relations
Phone
(830) 549-5738

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X
Obstetrics Physician 207VX0000X
Neurology Physician 2084N0400X
Urology Physician 208800000X

Addresses

Primary practice location

105 Medical
Seguin, TX 78155-5392

Mailing address

1215 E Court St
Seguin, TX 78155-5129
Phone (830) 379-2411

Other identifiers 2

IdentifierTypeStateIssuer
0039WCOtherTXBLUE CROSS BLUE SHIELD
219512501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110228000399 TX Part B Supplier - Clinic/Group Practice 6800077694 Receives reassigned benefits from 47 practitioners
1 other NPI on this enrollment
Practice locations: Yoakum, TX; Seguin, TX; New Braunfels, TX; Gonzales, TX; Cuero, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
45D2041522Guadalupe Regional Medical Group105 Medical Drive, Seguin, TX 78155Provider-performed microscopyMay 22, 2028

National Provider Directory

National Provider Directory

Locations

417 S King St
Seguin, TX 78155
Phone (830) 484-4600

562 S Highway 123 Byp
Seguin, TX 78155
Phone (210) 215-1840

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.

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1578873717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555129",
            "telephone_number": "830-379-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEDICAL",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555392",
            "telephone_number": "830-401-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE REGIONAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "CREDENTIALING & PROVIDER RELATIONS",
        "authorized_official_telephone_number": "830-549-5738"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0039WC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219512501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.