Individual provider Active NPI

Louis Victor McIntire Jr., M.D.

  • Family Medicine Physician
  • Pecos, TX
National Provider Identifier
1871696955
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0624 Issued in TX
Practice address
2323 Texas St
Pecos, TX 79772-7338
Phone
(432) 447-0565
Fax
(432) 447-0422
NPI assigned
Sep 6, 2006
Last updated
Jun 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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 H0624 TX Primary
Internal Medicine Physician 207R00000X H0624 TX

Addresses

Primary practice location

2323 Texas St
Pecos, TX 79772-7338

Mailing address

2323 Texas St
Pecos, TX 79772-7338
Phone (432) 447-0565

Other identifiers 3

IdentifierTypeStateIssuer
8DW032OtherTXBLUE CROSS
080105987OtherTXRAILROAD MEDICARE
122619306MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090831000650 TX Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 1052466877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reeves County Hospital DistrictGroup PAC ID 2567353469, 25 clinicians

Practice addresses (Care Compare)

2349 Medical Dr
Pecos, TX 79772-2251
Phone (432) 447-3551

2349 Medical Dr
Pecos, TX 79772-7338

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reeves County Hospital District CurrentSince Aug 19, 2013 Accepting new patients
Reeves County Hospital District Family Medicine CurrentSince Aug 19, 2013 Accepting new patients
Orange Medical Surgical Assoc LLP Family Medicine PastSince Mar 5, 1997 Accepting new patients
Reeves County Hospital District Past Accepting new patients
Reeves County Hospital District Past Accepting new patients

Locations

2323 Texas St
Pecos, TX 79772
Phone (432) 447-3551

2335 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

2349 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGFFCA
  • Direct secure messaging: louis.mcintire@directaddress.net

Organizations & group practices 5

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 2

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1871696955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 TEXAS ST",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797727338",
            "telephone_number": "432-447-0565",
            "fax_number": "432-447-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 TEXAS ST",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797727338",
            "telephone_number": "432-447-0565",
            "fax_number": "432-447-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "LOUIS",
        "middle_name": "VICTOR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0624",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H0624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8DW032",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080105987",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122619306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pecos, TX

Sources for this page

Verify at the official NPI Registry.