Organization Active NPI

Agustin B Mego MD PA

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1669803102
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9808 Issued in TX
Legal business name
AGUSTIN B MEGO MD PA
Practice address
3601 Buddy Owens Ave Ste 100
McAllen, TX 78504-6447
Phone
(956) 686-6346
Fax
(956) 686-6347
NPI assigned
Dec 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Agustin B Mego, MDNPI 1831176452
Title
Owner
Phone
(956) 686-6346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X L9808 TX Primary

Addresses

Primary practice location

3601 Buddy Owens Ave Ste 100
McAllen, TX 78504-6447

Mailing address

3601 Buddy Owens Ave Ste 100
McAllen, TX 78504-6447
Phone (956) 686-6346

Other names 1

  • EMMANUEL CLINIC CHILDREN AND ADULTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140225001958 TX Part B Supplier - Clinic/Group Practice 8729218458 Receives reassigned benefits from 1 practitioner
Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1669803102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 BUDDY OWENS AVE STE 100",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046447",
            "telephone_number": "956-686-6346",
            "fax_number": "956-686-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 BUDDY OWENS AVE STE 100",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046447",
            "telephone_number": "956-686-6346",
            "fax_number": "956-686-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGUSTIN B MEGO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "MEGO",
        "authorized_official_first_name": "AGUSTIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-686-6346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMMANUEL CLINIC CHILDREN AND ADULTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EMMANUEL CLINIC CHILDREN AND ADULTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.