Individual provider Active NPI

Michael Timothy Lago, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Edinburg, TX
National Provider Identifier
1891094306
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
R5421 Issued in TX
Practice address
3804 S Jackson Rd Ste 1
Edinburg, TX 78539-6681
Phone
(956) 296-3001
Fax
(956) 296-3001
NPI assigned
Mar 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X R5421 TX Primary
Orthopaedic Surgery Physician 207X00000X R5421 TX

Addresses

Primary practice location

3804 S Jackson Rd Ste 1
Edinburg, TX 78539-6681

Mailing address

3804 S Jackson Rd Ste 1
Edinburg, TX 78539-6681
Phone (956) 296-3001

Other practice location 1

1315 E 6th St Ste 10
Weslaco, TX 78596-6658
Phone (956) 296-2821

Other identifiers 2

IdentifierTypeStateIssuer
H08LK12801OtherTXBCBS
3788572-03MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160822001390 UT Practitioner - Orthopedic Surgery 2668767260 Reassigns benefits to 1 organization
I20171220000551 TX Practitioner - Orthopedic Surgery 2668767260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raul a. Marquez, MD PAGroup PAC ID 8123007887, 8 clinicians

Practice addresses (Care Compare)

2402 Cornerstone Blvd
Edinburg, TX 78539-8462
Phone (956) 668-0060

Hospital & facility affiliations

  • Cornerstone Regional Hospital Hospital, Edinburg, TX, CCN 450825
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement40
Knee replacement44
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
Raul a. Marquez, MD PA CurrentSince Aug 29, 2022 Accepting new patients
University of Utah Adult Services CurrentSince Aug 1, 2016 Accepting new patients
University of Utah Adult Services CurrentSince Aug 1, 2016 Accepting new patients
Heart Clinic, PLLC PastSince Jan 2, 2018 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

2402 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 618-4444

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1891094306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 S JACKSON RD STE 1",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396681",
            "telephone_number": "956-296-3001",
            "fax_number": "956-296-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 S JACKSON RD STE 1",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396681",
            "telephone_number": "956-296-3001",
            "fax_number": "956-296-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 E 6th St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785966658",
            "country_code": "US",
            "telephone_number": "956-296-2821",
            "fax_number": "956-296-2820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGO",
        "first_name": "MICHAEL",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "R5421",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "R5421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08LK12801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3788572-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.