Individual provider Active NPI

Reynaldo Godines, MD

  • Gastroenterology Physician
  • Laredo, TX
National Provider Identifier
1659457406
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E4354 Issued in TX
Practice address
6801 McPherson Rd
Suite 339
Laredo, TX 78041-6417
Phone
(956) 727-4111
Fax
(956) 727-4318
NPI assigned
Oct 27, 2006
Last updated
Aug 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X E4354 TX Primary

Addresses

Primary practice location

6801 McPherson Rd
Suite 339
Laredo, TX 78041-6417

Mailing address

PO Box 450307
Laredo, TX 78045-0007
Phone (956) 727-4111

Other identifiers 1

IdentifierTypeStateIssuer
034895501MedicaidTX

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
I20040803001264 TX Practitioner - Gastroenterology 8820069875 Practice locations: Laredo, TX

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Texas Southwestern Medical School at Dallas, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6801 McPherson
Suite 339
Laredo, TX 78041-6417

6801 McPherson Rd
Suite 339
Laredo, TX 78041-6417
Phone (956) 727-4111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy156
Upper gastrointestinal (GI) endoscopy for acid reflux155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4354TXMDGastroenterology Physician

Hospital & facility affiliations 2

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1659457406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450307",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450007",
            "telephone_number": "956-727-4111",
            "fax_number": "956-727-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MCPHERSON RD",
            "address_2": "SUITE 339",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416417",
            "telephone_number": "956-727-4111",
            "fax_number": "956-727-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINES",
        "first_name": "REYNALDO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "E4354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034895501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.