NPIMap

Individual provider Active NPI

Enrique Wilder Linan, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mission, TX
National Provider Identifier
1689645178
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
L5434 Issued in TX
Practice address
1317 Saint Claire Blvd
Suite # a-4
Mission, TX 78572
Phone
(956) 581-6606
Fax
(956) 581-6775
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X L5434 TX Primary

Addresses

Primary practice location

1317 Saint Claire Blvd
Suite # a-4
Mission, TX 78572

Mailing address

PO Box 809
Mission, TX 78573-0014
Phone (956) 581-6606

Other identifiers 3

IdentifierTypeStateIssuer
156145801MedicaidTX
8H8630OtherTXBCBS
156146601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818000108 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 3375629611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1317 St Claire Blvd
Suite A4
Mission, TX 78572-6636
Phone (956) 581-6606

Hospital & facility affiliations

  • Mission Regional Medical Center Hospital, Mission, TX, CCN 450176
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Mission Regional Medical Center Inpatient rehabilitation facility, Mission, TX, CCN 45T176

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217546NYMDLicensed Practical Nurse
L5434TXMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Medical, PA Pain Medicine CurrentSince Oct 21, 2002 Accepting new patients

Locations

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

1317 St Claire Blvd
Ste A4
Mission, TX 78572
Phone (956) 581-6606

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1689645178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785730014",
            "telephone_number": "956-581-6606",
            "fax_number": "956-581-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 SAINT CLAIRE BLVD",
            "address_2": "SUITE # A-4",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-581-6606",
            "fax_number": "956-581-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINAN",
        "first_name": "ENRIQUE",
        "middle_name": "WILDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "L5434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156145801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H8630",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156146601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.