Mohammed Waleed Jeraq, M.D

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

T6918 Issued in TX

Practice address

2609 Michaelangelo Dr
Edinburg, TX 78539-1417

Phone

(956) 362-5650

Fax

(956) 362-2574

NPI assigned

Mar 30, 2015

Last updated

Mar 28, 2023By 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renaissance EndocrinologyGroup PAC ID 9234361452, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95.15

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Renaissance Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Edinburg, TX
  • NPI 1659709780

  Surgery

  Medicare reassignment Care Compare group NPD

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1861887606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2646",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785022646",
            "telephone_number": "956-362-5650",
            "fax_number": "956-362-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 MICHAELANGELO DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391417",
            "telephone_number": "956-362-5650",
            "fax_number": "956-362-2574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 N Expressway Ste 305A",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785264165",
            "country_code": "US",
            "telephone_number": "956-362-3980",
            "fax_number": "956-362-3979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERAQ",
        "first_name": "MOHAMMED",
        "middle_name": "WALEED",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T6918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Jazinski, LPC
• JC's Legacy Provider Home Care, LLC.
• Jeannette & Cameron, LLC
• Michael T. Jelinek, M.D.
• Raena Jennings, PA-C
• Jhonsdtc Inc (Golden Life Home Health Care)
• Jimenez Pediatrics
• Jimenez Pediatrics
• David Lee Jimenez, MD
• Gonzalo Jimenez, LCSW

• Surgery Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.