Active NPI
Roger M Sifuentes, M.D.
- Family Medicine Physician
- Corpus Christi, TX
National Provider Identifier
1720209901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K3645
- Practice address
- 10838 Leopard St
Corpus Christi, TX 78410-2607 - Phone
- (361) 387-9496
- Fax
- (361) 387-8379
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K3645 | TX | Primary |
Addresses
Primary practice location
10838 Leopard St
Corpus Christi, TX 78410-2607
Mailing address
10838 Leopard St
Corpus Christi, TX 78410-2607
Phone (361) 387-9496
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10838 Leopard St
Corpus Christi, TX 78410-2607
Phone (361) 387-9496
Hospital & facility affiliations
- Aadi Home Health
- Corpus Christi Healthcare at Home
- Christus Homecare Spohn
- Corpus Christi Medical Center,the
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K3645 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger M Sifuentes MD PA | Family Medicine | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
10838 Leopard St
Corpus Christi, TX 78410
Phone (361) 387-9496
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BJBDCD/Endpoint/BJBDCD
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1861467862
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Corpus Christi, TX
- NPI 1124070065
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1508810573
-
- Home Health Agency
- Corpus Christi, TX
- NPI 1336242841
-
- Home Health Agency
- Corpus Christi, TX
- NPI 1548785843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480032000000",
"number": "1720209901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10838 LEOPARD ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784102607",
"telephone_number": "361-387-9496",
"fax_number": "361-387-8379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10838 LEOPARD ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784102607",
"telephone_number": "361-387-9496",
"fax_number": "361-387-8379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIFUENTES",
"first_name": "ROGER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2016-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K3645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; 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.