Organization Active NPI

Knapp Medical Group

  • Family Medicine Physician
  • Weslaco, TX
National Provider Identifier
1689905309
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KNAPP MEDICAL GROUP
Practice address
1401 E 8TH St
Weslaco, TX 78596-6640
Phone
(956) 969-5237
Fax
(956) 968-6290
NPI assigned
Jan 20, 2010
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Lester Surrock
Title
Cfo
Phone
(210) 564-4760

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

1401 E 8TH St
Weslaco, TX 78596-6640

Mailing address

1401 E. Eighth Street
Weslaco, TX 78596
Phone (956) 969-5237

Other practice location 1

2810 W Expressway 83
Mercedes, TX 78570-9704
Phone (956) 825-3749

Other practice location 2

1315 E 6th St Ste 6
Weslaco, TX 78596-6632
Phone (956) 565-2727

Other identifiers 1

IdentifierTypeStateIssuer
212292101MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100512001078 TX Part B Supplier - Clinic/Group Practice 1052449071 Receives reassigned benefits from 49 practitioners
Practice locations: Mercedes, TX; Weslaco, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2005435Family Practice-Knapp Medical Group1315 E 6TH St, Suite 6, Weslaco, TX 78596Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

702 E Expressway 83
Donna, TX 78537

1315 E 6th St
Ste 18
Weslaco, TX 78596
Phone (956) 447-4040

1330 E 6th St
Ste 1
Weslaco, TX 78596

1330 E 6th St
Ste 201
Weslaco, TX 78596
Phone (956) 423-0886

1330 E 6th St
Ste 203
Weslaco, TX 78596
Phone (956) 350-3944

1330 E 6th St
Ste 304
Weslaco, TX 78596
Phone (956) 969-8933

1402 E 8th St
Ste 4
Weslaco, TX 78596
Phone (956) 854-4050

1600 N Westgate Dr
Ste 800
Weslaco, TX 78599
Phone (956) 565-2727

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1689905309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E. EIGHTH STREET",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "78596",
            "telephone_number": "956-969-5237",
            "fax_number": "956-968-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 8TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966640",
            "telephone_number": "956-969-5237",
            "fax_number": "956-968-6290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 W Expressway 83",
            "address_purpose": "LOCATION",
            "city": "Mercedes",
            "state": "TX",
            "postal_code": "785709704",
            "country_code": "US",
            "telephone_number": "956-825-3749",
            "fax_number": "956-825-3750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 E 6th St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785966632",
            "country_code": "US",
            "telephone_number": "956-565-2727",
            "fax_number": "956-351-5786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KNAPP MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "SURROCK",
        "authorized_official_first_name": "LESTER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-564-4760"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212292101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.