NPIMap

Organization Active NPI

Renaissance Urology Centers PA

  • Urology Physician
  • Edinburg, TX
National Provider Identifier
1912916131
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
RENAISSANCE UROLOGY CENTERS PA
Practice address
2717 Cornerstone Blvd
Edinburg, TX 78539-8464
Phone
(956) 683-7342
Fax
(953) 683-0957
NPI assigned
Aug 5, 2006
Last updated
Jun 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Michael Y Seiba, MDNPI 1750390977
Title
Owner
Phone
(956) 683-7342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

2717 Cornerstone Blvd
Edinburg, TX 78539-8464

Mailing address

PO Box 720657
McAllen, TX 78504-0657
Phone (956) 683-7342

Other identifiers 3

IdentifierTypeStateIssuer
0046KYOtherTXBC/BS
164633301MedicaidTX
DB0026OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090220000415 TX Part B Supplier - Clinic/Group Practice 9133284482 Receives reassigned benefits from 1 practitioner
Practice locations: Edinburg, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1020451Renaissance Urology Centers2717 Cornerstone Blvd, Edinburg, TX 78539Certificate of waiverDec 18, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: amandamure@uiar.medalliesdirect.net
  • Direct secure messaging: brendasandragorsian@uiar.medalliesdirect.net
  • Direct secure messaging: daniellybbert@uiar.medalliesdirect.net
  • Direct secure messaging: davidalonzo@uiar.medalliesdirect.net
  • Direct secure messaging: diegopalacios@uiar.medalliesdirect.net
  • Direct secure messaging: emilypartida@uiar.medalliesdirect.net
  • Direct secure messaging: ericaortiz@uiar.medalliesdirect.net
  • Direct secure messaging: gaudencioolgin@uiar.medalliesdirect.net
  • Direct secure messaging: gustavovillegas@uiar.medalliesdirect.net
  • Direct secure messaging: hectorescajeda@uiar.medalliesdirect.net
  • Direct secure messaging: henryruiz@uiar.medalliesdirect.net
  • Direct secure messaging: jenniferespinales@uiar.medalliesdirect.net
  • Direct secure messaging: joaquincastillo@uiar.medalliesdirect.net
  • Direct secure messaging: juananzaldua@uiar.medalliesdirect.net
  • Direct secure messaging: kayvonkiani@uiar.medalliesdirect.net
  • Direct secure messaging: manuelespinoza@uiar.medalliesdirect.net
  • Direct secure messaging: mohannadawad@uiar.medalliesdirect.net
  • Direct secure messaging: nataliabustos@uiar.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1912916131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720657",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785040657",
            "telephone_number": "956-683-7342",
            "fax_number": "956-683-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398464",
            "telephone_number": "956-683-7342",
            "fax_number": "953-683-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE UROLOGY CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "SEIBA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-683-7342",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0046KY",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164633301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB0026",
            "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 Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.