Raul Sustaita, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

649350 Issued in TX

Practice address

2010 East Business 83
Donna, TX 78537-3500

Phone

(956) 461-6666

Fax

(956) 461-6670

NPI assigned

Jul 13, 2005

Last updated

Dec 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Donna Medical Clinic, PLLCGroup PAC ID 1153216734, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Donna Medical Clinic, PLLC

  • Family Medicine Physician
  • Donna, TX
  • NPI 1144251547
  Medicare reassignment Care Compare group NPD
• Nuestra Clinica del Valle, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Juan, TX
  • NPI 1053728360
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital at Renaissance, LTD

  dba DHR Health

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  dba DHR Health

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1104338052

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1801894704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 EAST BUSINESS 83",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785373500",
            "telephone_number": "956-461-6666",
            "fax_number": "956-461-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 EAST BUSINESS 83",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785373500",
            "telephone_number": "956-461-6666",
            "fax_number": "956-461-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSTAITA",
        "first_name": "RAUL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "649350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Edith Sobrevilla, PA-C
• Sonrisa de Angel Primary Home Care LLC
• Spectrum Hospice and Home Care Inc
• Sul Ki Yi, DDS, P.a. (Yi Dentistry)
• Sunset Dental PA
• The Garza-Delgado LLC (El Recreo Adult Day Care II)
• Therapy for Kids, LLC
• Toothday at N Salinas Blvd, PLLC
• Norma Alicia Trevino, SLP ASSISTANT B.S.
• Triple 'a' Provider Services,Inc

• Nurse Practitioner in Donna, TX
• Providers in Donna, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.

Verify at the official NPI Registry.