NPIMap

Organization Active NPI

ICU Dynamics PLLC

  • Pulmonary Disease Physician
  • Mission, TX
National Provider Identifier
1841862950
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ICU DYNAMICS PLLC
Practice address
1112 E Griffin Pkwy Ste D
Mission, TX 78572-2408
Phone
(956) 450-3093
Fax
(956) 631-9822
NPI assigned
Jul 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Authorized official

Name
Antonio Degorordo Arzamendi, MDNPI 1497890198
Title
Director
Phone
(956) 450-3093

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
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1112 E Griffin Pkwy Ste D
Mission, TX 78572-2408

Mailing address

2206 Sabinal St
Mission, TX 78572-7478
Phone (956) 450-3093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210924000118 TX Part B Supplier - Clinic/Group Practice 5698172286 Receives reassigned benefits from 6 practitioners
Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Locations

5300 N G St
Ste 110
McAllen, TX 78504
Phone (956) 222-6077

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24458/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1841862950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 SABINAL ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727478",
            "telephone_number": "956-450-3093",
            "fax_number": "956-631-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E GRIFFIN PKWY STE D",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722408",
            "telephone_number": "956-450-3093",
            "fax_number": "956-631-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICU DYNAMICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "DEGORORDO ARZAMENDI",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "956-450-3093",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.