NPIMap

Individual provider Active NPI

Agustin B Mego, MD

  • Family Medicine Physician
  • Edinburg, TX
National Provider Identifier
1831176452
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L9808 Issued in TX
Practice address
1102 W Trenton Rd
Edinburg, TX 78539-9105
Phone
(956) 213-5111
Fax
(956) 289-5040
NPI assigned
Dec 23, 2005
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L9808 TX Primary
Hospitalist Physician 208M00000X L9808 TX

Addresses

Primary practice location

1102 W Trenton Rd
Edinburg, TX 78539-9105

Mailing address

PO Box 843204
Dallas, TX 75284-3204
Phone (956) 213-5111

Other identifiers 1

IdentifierTypeStateIssuer
1716029-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000656 TX Practitioner - Family PracticePractitioner - Hospitalist 5698731453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinica Emmanuel Ninos Y Adultos LLCGroup PAC ID 7719277037, 3 clinicians

Practice addresses (Care Compare)

10211 Mile 7 Rd
Alton, TX 78573
Phone (956) 580-9071

3601 Buddy Owens Ave
Suite 100
McAllen, TX 78504-6447
Phone (656) 686-6346

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9808TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Hospitalist Group, PLLC Family Medicine CurrentSince Feb 1, 2013 Accepting new patients
Clinica Sagrado Corazon CurrentSince Jul 19, 2012 Accepting new patients
Clinica Emmanuel Ninos Y Adultos LLC Family Medicine CurrentSince Aug 28, 2015 Accepting new patients
McLennan County Medical Education and Research Foundation Family Medicine Past Accepting new patients
McAllen Hospitals L P Past Accepting new patients
Benjamin Fano MD PA PastSince Jan 1, 2014 Accepting new patients

Locations

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

3401 W Mile 5 Rd
Ste 1
Mission, TX 78574
Phone (956) 496-8442

Organizations & group practices 7

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 4

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1831176452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752843204",
            "telephone_number": "956-213-5111",
            "fax_number": "956-289-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399105",
            "telephone_number": "956-213-5111",
            "fax_number": "956-289-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGO",
        "first_name": "AGUSTIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9808",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "L9808",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716029-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.