Active NPI
Ernesto Trevino, MD
- Family Medicine Physician
- McAllen, TX
National Provider Identifier
1891780185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E6657
- Practice address
- 4208 N 23Rd St
McAllen, TX 78504-4107 - Phone
- (956) 682-4264
- Fax
- (956) 682-4281
- NPI assigned
- Sep 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E6657 | TX | Primary |
Addresses
Primary practice location
4208 N 23Rd St
McAllen, TX 78504-4107
Mailing address
4208 N 23Rd St
McAllen, TX 78504-4107
Phone (956) 682-4264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099983101 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100720000243 | TX | Practitioner - Family Practice | 0244362754 | Practice locations: McAllen, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1974
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4208 N 23Rd St
McAllen, TX 78504-4107
Phone (956) 682-4264
Hospital & facility affiliations
- Doctors Hosptal at Renaissance
- Alfredo Gonzalez Texas State Veterans Home
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258761600000",
"number": "1891780185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4208 N 23RD ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785044107",
"telephone_number": "956-682-4264",
"fax_number": "956-682-4281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4208 N 23RD ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785044107",
"telephone_number": "956-682-4264",
"fax_number": "956-682-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "ERNESTO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2009-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E6657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099983101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2009; 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.