NPIMap

Organization Active NPI

Renaissance Emergency Physicians,PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • Edinburg, TX
National Provider Identifier
1831131143
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
RENAISSANCE EMERGENCY PHYSICIANS,PA
Practice address
5501 S McColl Rd
Edinburg, TX 78539-9152
Phone
(956) 664-1437
Fax
(956) 661-7361
NPI assigned
Jun 12, 2006
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Dr. Javier Elias Cortinas, M.D.NPI 1588663710
Title
Chief Executive
Phone
(956) 687-9997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X NU Primary

Addresses

Primary practice location

5501 S McColl Rd
Edinburg, TX 78539-9152

Mailing address

4745 S Jackson Rd
Edinburg, TX 78539-8309
Phone (386) 274-7860

Other identifiers 1

IdentifierTypeStateIssuer
170447001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050119000324 TX Part B Supplier - Clinic/Group Practice 9830148683 Receives reassigned benefits from 45 practitioners
Practice locations: Rio Grande City, TX; Brownsville, TX; Edinburg, TX

National Provider Directory

National Provider Directory

Locations

4745 S Jackson Rd
Edinburg, TX 78539
Phone (956) 687-9997

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1831131143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398309",
            "telephone_number": "386-274-7860",
            "fax_number": "833-547-6525"
        },
        {
            "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": "785399152",
            "telephone_number": "956-664-1437",
            "fax_number": "956-661-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE EMERGENCY PHYSICIANS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "CORTINAS",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "956-687-9997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170447001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.