Individual provider Active NPI

Melissa S Cantu-Garza, PA

  • Physician Assistant
  • Weslaco, TX
National Provider Identifier
1770788622
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05305 Issued in TX
Practice address
902 S Airport Dr
Suite 6
Weslaco, TX 78596-6644
Phone
(956) 973-2446
Fax
(956) 973-2686
NPI assigned
Jun 20, 2007
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05305 TX Primary

Addresses

Primary practice location

902 S Airport Dr
Suite 6
Weslaco, TX 78596-6644

Mailing address

PO Box 6139
McAllen, TX 78502-6139
Phone (956) 973-2446

Other practice location 1

5520 Leonardo Da Vinci Ste 100
Edinburg, TX 78539-1422
Phone (956) 362-3636

Other identifiers 1

IdentifierTypeStateIssuer
291258602MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000411 TX Practitioner - Physician Assistant 4880781814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance GastroenterologyGroup PAC ID 7810110780, 19 clinicians

Practice addresses (Care Compare)

5520 Leonardo Da Vinci
Suite 100
Edinburg, TX 78539-1422
Phone (956) 362-3636

902 S Airport Dr
Suite 6
Weslaco, TX 78596-6649
Phone (956) 973-2446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
88.93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05305TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: m.cantu-garza@dhr.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1770788622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6139",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785026139",
            "telephone_number": "956-973-2446",
            "fax_number": "956-973-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S AIRPORT DR",
            "address_2": "SUITE 6",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966644",
            "telephone_number": "956-973-2446",
            "fax_number": "956-973-2686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 Leonardo Da Vinci Ste 100",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785391422",
            "country_code": "US",
            "telephone_number": "956-362-3636",
            "fax_number": "956-362-2699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTU-GARZA",
        "first_name": "MELISSA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291258602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.