Individual provider Active NPI

Lourdes B Concha, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Harlingen, TX
National Provider Identifier
1801886569
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
L8018 Issued in TX
Practice address
1821 S Sesame Square
Suite 9
Harlingen, TX 78550-8407
Phone
(956) 412-7099
Fax
(956) 412-7488
NPI assigned
Oct 25, 2005
Last updated
Apr 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X L8018 TX Primary

Addresses

Primary practice location

1821 S Sesame Square
Suite 9
Harlingen, TX 78550-8407

Mailing address

1821 S Sesame Square
Suite 9
Harlingen, TX 78550-8407
Phone (956) 412-7099

Other identifiers 2

IdentifierTypeStateIssuer
8BB671OtherTXBCBX
166028402MedicaidTX

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
I20040609000555 TX Practitioner - Endocrinology 2961485222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donald C. Roa, MD, PAGroup PAC ID 4688753049, 2 clinicians

Practice addresses (Care Compare)

1821 S Sesame SQ
Suite 9
Harlingen, TX 78550-7941
Phone (956) 412-7099

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Donald C. Roa, MD,PA CurrentSince Sep 22, 2008 Accepting new patients

Locations

1821 S Sesame Sq
Ste 9
Harlingen, TX 78550
Phone (956) 412-7099

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

Hospital & facility affiliations 5

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1801886569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 S SESAME SQUARE",
            "address_2": "SUITE 9",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508407",
            "telephone_number": "956-412-7099",
            "fax_number": "956-412-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S SESAME SQUARE",
            "address_2": "SUITE 9",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508407",
            "telephone_number": "956-412-7099",
            "fax_number": "956-412-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCHA",
        "first_name": "LOURDES",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "L8018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBX",
            "identifier": "8BB671",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166028402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.