Active NPI
Randy De Hoyos, PA-C
- Physician Assistant
- Edinburg, TX
National Provider Identifier
1902169790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TXPA05433
- Practice address
- 2703 W Trenton Rd
Edinburg, TX 78539-3433 - Phone
- (956) 682-9559
- Fax
- (956) 682-9768
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TXPA05433 | TX | Primary |
Addresses
Primary practice location
2703 W Trenton Rd
Edinburg, TX 78539-3433
Mailing address
2703 W Trenton Rd
Edinburg, TX 78539-3433
Phone (956) 682-9559
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148060001 | Medicaid | TX | |
| 044974601 | Medicaid | TX | |
| 86741F | Medicaid | TX | |
| 143824401 | Medicaid | TX | |
| 124348702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TXPA05433 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G Athansi Orfanos MD PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Edinburg, TX
- NPI 1245453901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1902169790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 W TRENTON RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785393433",
"telephone_number": "956-682-9559",
"fax_number": "956-682-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 W TRENTON RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785393433",
"telephone_number": "956-682-9559",
"fax_number": "956-682-9768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE HOYOS",
"first_name": "RANDY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "TXPA05433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148060001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044974601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "86741F",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143824401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124348702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.