Individual provider Active NPI

Roger M Sifuentes, M.D.

  • Family Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1720209901
Registry record updated Nov 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3645 Issued in TX
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

Updated by the provider on Nov 25, 2016

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040630000875 TX Practitioner - Family Practice 7517943749 Reassigns benefits to 1 organization

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 Home health agency, Corpus Christi, TX, CCN 679617
  • Corpus Christi Healthcare at Home Home health agency, Corpus Christi, TX, CCN 679637
  • Christus Homecare Spohn Home health agency, Corpus Christi, TX, CCN 677814
  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3645TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roger M Sifuentes MD PA Family Medicine CurrentSince Aug 1, 2000 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

  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.