NPIMap

Individual provider Active NPI

Sergio Alberto Trevino Manllo, MD

  • Nephrology Physician
  • McAllen, TX
National Provider Identifier
1629323993
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
R1144 Issued in TX
Practice address
1901 S 1St St Ste 600
McAllen, TX 78503-1228
Phone
(956) 631-6136
Fax
(956) 631-1848
NPI assigned
Jul 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X R1144 TX Primary

Addresses

Primary practice location

1901 S 1St St Ste 600
McAllen, TX 78503-1228

Mailing address

1901 S 1St St Ste 600
McAllen, TX 78503-1228
Phone (956) 631-6136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628002590 TX Practitioner - NephrologyPractitioner - Internal Medicine 9931326691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Texas Nephrology PLLCGroup PAC ID 8820403512, 6 clinicians
South Texas Kidney Specialists, P.a.Group PAC ID 9234118837, 15 clinicians

Practice addresses (Care Compare)

1080 E Los Ebanos Blvd
Suite a
Brownsville, TX 78520-9988
Phone (956) 542-3472

1901 S 1St St
Suite 600
McAllen, TX 78503-1228
Phone (956) 631-6136

Hospital & facility affiliations

  • Fresenius Medical Care River Valley Clinic Dialysis facility, Pharr, TX, CCN 672775
  • Mission Kidney Center Dialysis facility, Mission, TX, CCN 452714
  • FKC McAllen Home Dialysis facility, Edinburg, TX, CCN 742565
  • Weslaco Dialysis Facility Dialysis facility, Weslaco, TX, CCN 452585
  • FKC Palm city Dialysis Dialysis facility, Mission, TX, CCN 742721
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119
  • Mission Regional Medical Center Hospital, Mission, TX, CCN 450176
  • Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662

Merit-based Incentive Payment System (MIPS)

Final score
95.39 of 100Reported as group
Quality
80.02
Promoting interoperability
96
Improvement activities
40
Cost
74.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Kidney Specialists, P.a. CurrentSince Jul 12, 2017 Accepting new patients
Southern Texas Nephrology PLLC Nephrology CurrentSince Nov 1, 2020 Accepting new patients

Locations

1080 E Los Ebanos Blvd
#A
Brownsville, TX 78520
Phone (956) 212-7984

1901 S 1st St
Ste 600
McAllen, TX 78503
Phone (956) 631-6136

2768 Pharmacy Rd
Rio Grande Cy, TX 78582
Phone (956) 487-5621

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23149/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sergio.trevino-manllo.1@23149.direct.athenahealth.com
  • Direct secure messaging: sergioalbertotrevinomanllo@stks.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629323993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S 1ST ST STE 600",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031228",
            "telephone_number": "956-631-6136",
            "fax_number": "956-631-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 1ST ST STE 600",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031228",
            "telephone_number": "956-631-6136",
            "fax_number": "956-631-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO MANLLO",
        "first_name": "SERGIO ALBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "R1144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.