Individual provider Active NPI

Jose I. Tovar-Camargo, M.D.

  • Family Medicine Physician
  • Palestine, TX
National Provider Identifier
1720474240
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R6121 Issued in TX
Practice address
4002 S Loop 256
Palestine, TX 75801
Phone
(361) 902-6570
Fax
(361) 881-1467
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R6121 TX
Family Medicine Physician 207Q00000X R6121 TX Primary

Addresses

Primary practice location

4002 S Loop 256
Palestine, TX 75801

Mailing address

4002 S Loop 256
Palestine, TX 75801-8491
Phone (903) 731-5030

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
I20180730000924 TX Practitioner - Family Practice 2961717764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo Physicians GroupGroup PAC ID 1355582461, 22 clinicians

Practice addresses (Care Compare)

11110 Mines Rd
Suite 104
Laredo, TX 78045-7981
Phone (956) 625-2030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6121TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Physicians Group Family Medicine CurrentSince Jan 23, 2025 Accepting new patients

Locations

11110 Mines Rd
Ste 104
Laredo, TX 78045
Phone (956) 625-2030

6801 McPherson Rd
Laredo, TX 78041
Phone (956) 721-0200

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 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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1720474240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018491",
            "telephone_number": "903-731-5030",
            "fax_number": "903-731-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "75801",
            "telephone_number": "361-902-6570",
            "fax_number": "361-881-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOVAR-CAMARGO",
        "first_name": "JOSE",
        "middle_name": "I.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R6121",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R6121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.