Active NPI
Reynaldo Godines, MD
- Gastroenterology Physician
- Laredo, TX
National Provider Identifier
1659457406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- E4354
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034895501 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 156 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 155 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4354 | TX | MD | Gastroenterology Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laredo, TX
- NPI 1396731105
-
dba Laredo Medical Center
- General Acute Care Hospital
- Laredo, TX
- NPI 1548232044
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.