Individual provider Active NPI

Michael McKenna

  • Surgery Physician
  • Brownsville, TX
National Provider Identifier
1760836639
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T3132 Issued in TX
Practice address
4970 N Expressway Ste a
Brownsville, TX 78526-4269
Phone
(956) 621-4981
NPI assigned
Apr 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X T3132 TX Primary

Addresses

Primary practice location

4970 N Expressway Ste a
Brownsville, TX 78526-4269

Mailing address

4970 N Expressway Ste a
Brownsville, TX 78526-4269
Phone (956) 621-4981

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
I20211028000012 TX Practitioner - General Surgery 6608161823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4970 N Expressway
Suite a
Brownsville, TX 78526-4269
Phone (956) 621-4981

Hospital & facility affiliations

  • Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662
  • Harlingen Medical Center Hospital, Harlingen, TX, CCN 450855
  • Valley Baptist Medical Center- Brownsville Hospital, Brownsville, TX, CCN 450028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier General Surgeons PLLC Surgery CurrentSince Sep 1, 2024 Accepting new patients
Michael J McKenna D.O. P.a. Surgery CurrentSince Sep 1, 2021 Accepting new patients

Locations

4970 N Expressway
Brownsville, TX 78526
Phone (956) 621-4981

800 W Jefferson St
Ste 100
Brownsville, TX 78520
Phone (956) 525-7014

4970 N Expressway
Ste A
Brownsville, TX 78526
Phone (956) 350-2300

5505 S Expressway 77
Ste 301
Harlingen, TX 78550
Phone (956) 412-3878

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 3

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1760836639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4970 N EXPRESSWAY STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264269",
            "telephone_number": "956-621-4981",
            "fax_number": "956-621-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 N EXPRESSWAY STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264269",
            "telephone_number": "956-621-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T3132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.