Active NPI
Fructuoso R Irigoyen, MD
- Psychiatry Physician
- Mission, TX
National Provider Identifier
1750364659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G2153
- Practice address
- 2116 E Griffin Pkwy
Suite a
Mission, TX 78572-3295 - Phone
- (956) 581-0355
- Fax
- (956) 581-0363
- NPI assigned
- Nov 23, 2005
- Last updated
- Feb 6, 2013
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G2153 | TX | Primary |
Addresses
Primary practice location
2116 E Griffin Pkwy
Suite a
Mission, TX 78572-3295
Mailing address
PO Box 1599
McAllen, TX 78505-1599
Phone (956) 627-3738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114504701 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031204000576 | TX | Practitioner - Psychiatry | 3072418839 | Practice locations: McAllen, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of New Mexico School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
711 N McColl Rd
Suite a
McAllen, TX 78501-9336
Phone (956) 627-3738
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G2153 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1750364659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1599",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785051599",
"telephone_number": "956-627-3738",
"fax_number": "956-627-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 E GRIFFIN PKWY",
"address_2": "SUITE A",
"city": "MISSION",
"state": "TX",
"postal_code": "785723295",
"telephone_number": "956-581-0355",
"fax_number": "956-581-0363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIGOYEN",
"first_name": "FRUCTUOSO",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "G2153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114504701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
- Inner Solace Therapy LLC
- Innovative Home Care Solutions, LLC,
- Sarah Inoferio, LPC
- Inspiration Family Medical Clinic, PLLC
- Ioptical, LLC
- Josefina Irigoyen, MS, MED
- Israel Rodriguez Un Nuevo Dia Adult Day Care
- IV Dano Healthcare Services LLC
- Iwc of Texas LLC
- J Bravo Medical Services PLLC (Bravo Pediatric & Adult Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.