Organization Active NPI

Clear Choice Physician Group

  • Emergency Medicine Physician
  • Laredo, TX
National Provider Identifier
1780167296
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CLEAR CHOICE PHYSICIAN GROUP
Practice address
7105 N Bartlett Ave Ste 101
Laredo, TX 78041-6466
Phone
(281) 363-3156
NPI assigned
Sep 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Robert Castanada Jr., M.D.
Title
Ceo
Phone
(956) 206-5980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

7105 N Bartlett Ave Ste 101
Laredo, TX 78041-6466

Mailing address

7105 N. Bartlett Ave.
Suite 101
Laredo, TX 78041-6466
Phone (956) 206-5980

Other practice location 1

6406 McPherson Rd
Suite 5 & 6
Laredo, TX 78041-6466
Phone (956) 206-5980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200528000935 TX Part B Supplier - Clinic/Group Practice 2668893793 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Laredo, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Clear Choice Physician Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5904 West Dr
Ste 15
Laredo, TX 78041

6406 McPherson Rd
Ste 5
Laredo, TX 78041
Phone (956) 206-5980

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1780167296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 N. BARTLETT AVE.",
            "address_2": "SUITE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416466",
            "telephone_number": "956-206-5980",
            "fax_number": "281-466-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 N BARTLETT AVE STE 101",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416466",
            "telephone_number": "281-363-3156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6406 McPherson Rd",
            "address_2": "Suite 5 & 6",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780416466",
            "country_code": "US",
            "telephone_number": "956-206-5980",
            "fax_number": "281-466-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEAR CHOICE PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "CASTANADA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-206-5980",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.