Active NPI
Edwin Acevedo Jr., MD, MHA
- Plastic and Reconstructive Surgery Physician
- Houston, TX
National Provider Identifier
1609254358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- V7798
- Practice address
- 6410 Fannin St Ste 1400
Houston, TX 77030-5389 - Phone
- (832) 325-7181
- Fax
- (713) 500-0716
- NPI assigned
- May 14, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Plastic and Reconstructive Surgery Physician
- San Antonio, TX
- NPI 1063405504
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
Care Compare affiliation Hospital -
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
Care Compare affiliation Hospital -
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
Care Compare affiliation Hospital -
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Rutgers New Jersey Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Plastic Reconstructive and Microsurgical Associates of South Texas PLL
Practice addresses (Care Compare)
9635 Huebner Rd
San Antonio, TX 78240-1512
Phone (210) 692-1181
Hospital & facility affiliations
- Baptist Medical Center
- Methodist Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250515002042 | TX | Practitioner - Plastic and Reconstructive Surgery | 7618495417 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT208318 | PA | MD | Surgery Physician |
| V7798 | TX | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic, Reconstructive & Microsurgical Associates of South Texas PLLC | Plastic and Reconstructive Surgery | Current | Accepting new patients |
Locations
540 Madison Oak Dr
Ste 600
San Antonio, TX 78258
Phone (210) 402-1222
9635 Huebner Rd
San Antonio, TX 78240
Phone (210) 692-1181
Interoperability endpoints
- edwin.acevedomd.p1@direct.prmaplasticsurgery.nextgenshare.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MT208318 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | V7798 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6410 Fannin St Ste 1400
Houston, TX 77030-5389
Mailing address
6410 Fannin St Ste 1400
Houston, TX 77030-5389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2025.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1609254358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 1400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770305389",
"fax_number": "713-500-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 1400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770305389",
"telephone_number": "832-325-7181",
"fax_number": "713-500-0716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "EDWIN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD, MHA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-14",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT208318",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "V7798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.