Individual provider Active NPI

Carlos Arellano, PA-C

  • Physician Assistant
  • Laredo, TX
National Provider Identifier
1659025328
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15455 Issued in TX
Practice address
10700 McPherson Rd
Laredo, TX 78045-6268
Phone
(056) 523-3000
NPI assigned
Feb 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15455 TX Primary

Addresses

Primary practice location

10700 McPherson Rd
Laredo, TX 78045-6268

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

1613 Violeta Ct
Laredo, TX 78041-6070
Phone (956) 516-2345

Other names 1

  • Carlos Arellano-Pedraza Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220510001518 TX Practitioner - Physician Assistant 1254718414 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

108 N Robb St
Trinity, TX 75862-7602
Phone (409) 594-7632

4415 S Zapata Hwy
Suite 100
Laredo, TX 78046-8679
Phone (956) 724-5525

801 N US Hwy 83
Zapata, TX 78076-3290
Phone (956) 765-8494

Merit-based Incentive Payment System (MIPS)

Final score
94.06 of 100Reported as group
Quality
81.25
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.7 of 100Reported as group
Quality
89.53
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15455TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Jan 1, 2025 Accepting new patients
Regional Employee Assistance Program Inc Physician Assistant CurrentSince Jan 1, 2025 Accepting new patients
Regional Employee Assistance Program Inc Past Accepting new patients

Locations

4415 S Zapata Hwy
Ste 100
Laredo, TX 78046
Phone (956) 724-5525

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

10201 McPherson Rd
Ste 300
Laredo, TX 78045
Phone (956) 795-1160

801 N US Highway 83
Zapata, TX 78076
Phone (956) 765-8494

Interoperability endpoints

  • Direct secure messaging: carlos.arellano.1@1902.direct.athenahealth.com

Organizations & group practices 6

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1659025328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MCPHERSON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456268",
            "telephone_number": "056-523-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1613 Violeta Ct",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780416070",
            "country_code": "US",
            "telephone_number": "956-516-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARELLANO",
        "first_name": "CARLOS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-04-21",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "ARELLANO-PEDRAZA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.