Individual provider Active NPI

Potenciano R Garcia Jr., M.D.

  • Pulmonary Disease Physician
  • McAllen, TX
National Provider Identifier
1649281072
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G7214 Issued in TX
Practice address
1200 E Savannah Ave Ste 16
McAllen, TX 78503-1728
Phone
(956) 631-3344
Fax
(956) 631-3881
NPI assigned
Aug 10, 2006
Last updated
Oct 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G7214 TX Primary

Addresses

Primary practice location

1200 E Savannah Ave Ste 16
McAllen, TX 78503-1728

Mailing address

1112 E Griffin Pkwy Ste D
Mission, TX 78572-2408
Phone (956) 450-3093

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
I20080730000622 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 1951475540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ICU Dynamics PLLCGroup PAC ID 5698172286, 6 clinicians

Practice addresses (Care Compare)

5300 N G St
Suite 110
McAllen, TX 78504-6550
Phone (956) 450-3093

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G7214TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ICU Dynamics PLLC Pulmonary Disease CurrentSince Jul 26, 2021 Accepting new patients
Potenciano R. Garcia, Jr. M.D., P.a. Pulmonary Disease Past Accepting new patients

Locations

5300 N G St
Ste 110
McAllen, TX 78504
Phone (956) 450-3093

1112 E Griffin Pkwy
Ste D
Mission, TX 78572
Phone (956) 450-3093

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24458/brand/1/csg/1/fhir/r4
  • Direct secure messaging: potenciano.garcia.1@24458.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1649281072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E GRIFFIN PKWY STE D",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722408",
            "telephone_number": "956-450-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E SAVANNAH AVE STE 16",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031728",
            "telephone_number": "956-631-3344",
            "fax_number": "956-631-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "POTENCIANO",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "G7214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.