Active NPI
Martin Rocha, PA
- Physician Assistant
- Elsa, TX
National Provider Identifier
1801001573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03767
- Practice address
- 101 South Broadway
Elsa, TX 78543 - Phone
- (956) 262-1304
- Fax
- (956) 262-3929
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03767 | TX | Primary |
Addresses
Primary practice location
101 South Broadway
Elsa, TX 78543
Mailing address
101 South Broadway
Elsa, TX 78543
Phone (956) 262-1304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PAC03767 | Other | TX | PA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141113001464 | TX | Practitioner - Physician Assistant | 3971725698 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Donna Medical Clinic, PLLC
Practice addresses (Care Compare)
307 N D Salinas Ave
Donna, TX 78537-2929
307 N D Salinas Blvd
Donna, TX 78537-2929
Phone (956) 464-2402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801001573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SOUTH BROADWAY",
"city": "ELSA",
"state": "TX",
"postal_code": "78543",
"telephone_number": "956-262-1304",
"fax_number": "956-262-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SOUTH BROADWAY",
"city": "ELSA",
"state": "TX",
"postal_code": "78543",
"telephone_number": "956-262-1304",
"fax_number": "956-262-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHA",
"first_name": "MARTIN",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA",
"identifier": "PAC03767",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elsa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.