Individual provider Active NPI

Gaudencio Olgin, M.D.

  • Urology Physician
  • Edinburg, TX
National Provider Identifier
1790049732
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
P9675 Issued in TX
Practice address
2603 Michael Angelo Dr
Edinburg, TX 78539
Phone
(956) 362-8767
Fax
(956) 362-2548
NPI assigned
Jun 25, 2012
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X P9675 TX Primary

Addresses

Primary practice location

2603 Michael Angelo Dr
Edinburg, TX 78539

Mailing address

PO Box 3989
McAllen, TX 78502-3989
Phone (956) 362-2171

Other identifiers 1

IdentifierTypeStateIssuer
337964601MedicaidTX

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
I20140917002916 TX Practitioner - Urology 7517113574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Southwestern Medical School at Dallas, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Surgery GroupGroup PAC ID 9234384769, 20 clinicians

Practice addresses (Care Compare)

2603 W Michaelangelo Dr
Edinburg, TX 78539-1417
Phone (956) 362-8767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.46 of 100Reported as group
Quality
83.64
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9675TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Surgery Group Urology CurrentSince Aug 1, 2014 Accepting new patients
Renaissance Urology Centers PA Urology Current Accepting new patients

Locations

4770 N Expressway
Ste 305A
Brownsville, TX 78526
Phone (956) 362-3980

2603 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 362-8767

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

1100 E Dove Ave
Ste 201
McAllen, TX 78504
Phone (956) 362-2200

1100 E Dove Ave
Ste 202
McAllen, TX 78504
Phone (956) 362-2200

101 N FM 3167
Ste 106
Rio Grande City, TX 78582
Phone (956) 352-1431

505 Angelita Dr
Ste 14
Weslaco, TX 78599
Phone (956) 362-3720

Interoperability endpoints

  • Direct secure messaging: gaudencioolgin@uiar.medalliesdirect.net

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1790049732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3989",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785023989",
            "telephone_number": "956-362-2171",
            "fax_number": "956-362-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 MICHAEL ANGELO DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-362-8767",
            "fax_number": "956-362-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLGIN",
        "first_name": "GAUDENCIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "P9675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337964601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.