Individual provider Active NPI

Rajeev K Mathavan, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Edinburg, TX
National Provider Identifier
1790705200
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
N0953 Issued in TX
Practice address
5501 S McColl Rd
Edinburg, TX 78539-5503
Phone
(956) 362-8677
Fax
(956) 362-7253
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X N0953 TX Primary

Addresses

Primary practice location

5501 S McColl Rd
Edinburg, TX 78539-5503

Mailing address

PO Box 5958
McAllen, TX 78502-5958
Phone (956) 362-8677

Other practice location 1

1000 E Dove Ave Ste 201
McAllen, TX 78504-4899
Phone (956) 362-3505

Other identifiers 4

IdentifierTypeStateIssuer
P00920362OtherTXRAILROAD MEDICARE NO.
200488903MedicaidTX
200488902MedicaidTX
8CH870OtherTXBCBS

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
I20090112000386 TX Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric MedicinePractitioner - Hospitalist 6709815434 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Hospice/Palliative Care, Hospitalist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians
Renaissance HospitalistsGroup PAC ID 6800019407, 42 clinicians

Practice addresses (Care Compare)

1000 E Dove Ave
Suite 201
McAllen, TX 78504-3974
Phone (956) 362-3505

5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 362-8677

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalist Services of Texas PLLC CurrentSince Oct 5, 2021 Accepting new patients
Sunrise Medical Clinic Professional Association Geriatric Medicine CurrentSince Dec 21, 2009 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Current Accepting new patients
Comprehensive Hospitalist Services of Texas, PLLC CurrentSince Oct 5, 2021 Accepting new patients
Renaissance Hospitalists Geriatric Medicine CurrentSince Mar 18, 2014 Accepting new patients
Doctors Hospital at Renaissance, LTD Past Accepting new patients
Valley Hospital Doctors, PLLC Past Accepting new patients
Hospital Doctors P.a. Past Accepting new patients

Locations

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

5017 S McColl Rd
Edinburg, TX 78539
Phone (956) 627-2414

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

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/

Organizations & group practices 9

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 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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1790705200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5958",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785025958",
            "telephone_number": "956-362-8677",
            "fax_number": "956-362-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395503",
            "telephone_number": "956-362-8677",
            "fax_number": "956-362-7253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Dove Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785044899",
            "country_code": "US",
            "telephone_number": "956-362-3505",
            "fax_number": "956-362-3506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHAVAN",
        "first_name": "RAJEEV",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "N0953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NO.",
            "identifier": "P00920362",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200488903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200488902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CH870",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.