Individual provider Active NPI

Andre Rosas

  • Family Medicine Physician
  • Misson, TX
National Provider Identifier
1669000709
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U6566 Issued in TX
Practice address
1809 E. Expressway 83
Suite a
Misson, TX 78572
Phone
(956) 431-0762
NPI assigned
Apr 1, 2020
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U6566 TX Primary

Addresses

Primary practice location

1809 E. Expressway 83
Suite a
Misson, TX 78572

Mailing address

704 Paredes Line Rd Ste a
Brownsville, TX 78521-7931

Other practice location 1

704 Paredes Line Rd Ste A
Brownsville, TX 78521-7931
Phone (956) 831-7111

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
I20231114001054 TX Practitioner - Family Practice 8325495245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosas Medical PLLCGroup PAC ID 8123522836, 2 clinicians
Carlos Rosas MD PAGroup PAC ID 4789622325, 2 clinicians

Practice addresses (Care Compare)

1809 E Interstate Hwy 2
Mission, TX 78572-6614
Phone (956) 205-2859

704 Paredes Line Rd
Suite a
Brownsville, TX 78521-7931
Phone (956) 831-7111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rosas Medical PLLC Family Medicine CurrentSince Aug 11, 2025 Accepting new patients
Carlos Rosas M.D., P.a. Family Medicine CurrentSince Oct 11, 2023 Accepting new patients

Locations

704 Paredes Line Rd
Ste A
Brownsville, TX 78521
Phone (956) 831-7111

1809 E Interstate Highway 2
Mission, TX 78572
Phone (956) 205-2859

1809 E Interstate Highway 2
Ste A
Mission, TX 78572
Phone (956) 205-2859

Interoperability endpoints

  • Direct secure messaging: andre.rosas@crm.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1669000709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 PAREDES LINE RD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785217931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 E. EXPRESSWAY 83",
            "address_2": "SUITE A",
            "city": "MISSON",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-431-0762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Paredes Line Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785217931",
            "country_code": "US",
            "telephone_number": "956-831-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSAS",
        "first_name": "ANDRE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U6566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Misson, TX

Sources for this page

Verify at the official NPI Registry.