NPIMap

Individual provider Active NPI

Luis Edgardo Ferrufino, M.D.

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1720230725
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P1996 Issued in TX
Practice address
833 W Dove Ave
McAllen, TX 78504
Phone
(956) 618-3979
Fax
(956) 618-3975
NPI assigned
Oct 21, 2008
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2011-0625 NM
Family Medicine Physician 207Q00000X P1996 TX Primary

Addresses

Primary practice location

833 W Dove Ave
McAllen, TX 78504

Mailing address

PO Box 3238
Mission, TX 78573-0055
Phone (956) 618-3979

Other identifiers 2

IdentifierTypeStateIssuer
295451301MedicaidTX
8DE594OtherTXBCBS

Other names 1

  • Luis E Ferrufino-Maltez Other name

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
I20120523000291 TX Practitioner - Family Practice 8820263551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planet Med LPGroup PAC ID 7810926227, 3 clinicians

Practice addresses (Care Compare)

833 W Dove Ave
McAllen, TX 78504-3508
Phone (956) 618-3979

Hospital & facility affiliations

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
MD2011-0625NMMDFamily Medicine Physician
P1996TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services Family Medicine CurrentSince Dec 1, 2015 Accepting new patients
Planet Med LP Family Medicine CurrentSince May 31, 2018 Accepting new patients
Mission Hospital, Inc. Past Accepting new patients
Fannin County Hospital Authority Past Accepting new patients
Columbia Rio Grande Healthcare, L.P. Past Accepting new patients
McAllen Hospitals L P Past Accepting new patients

Locations

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

833 W Dove Ave
McAllen, TX 78504
Phone (956) 580-8072

1810 E Griffin Pkwy
Ste A4
Mission, TX 78572
Phone (956) 580-8072

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Organizations & group practices 6

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

Hospital & facility affiliations 10

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1720230725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3238",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785730055",
            "telephone_number": "956-618-3979",
            "fax_number": "956-618-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 W DOVE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78504",
            "telephone_number": "956-618-3979",
            "fax_number": "956-618-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRUFINO",
        "first_name": "LUIS",
        "middle_name": "EDGARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2011-0625",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295451301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DE594",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "FERRUFINO-MALTEZ",
            "middle_name": "E",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.