Individual provider Active NPI

Luis C Trigo III, MD

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1912921990
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J2467 Issued in TX
Practice address
4120 Hedgerow Dr
Plano, TX 75024-5453
Phone
(972) 566-8403
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J2467 TX Primary

Addresses

Primary practice location

4120 Hedgerow Dr
Plano, TX 75024-5453

Mailing address

4120 Hedgerow Dr
Plano, TX 75024-5453
Phone (972) 566-8403

Other identifiers 6

IdentifierTypeStateIssuer
116165502MedicaidTX
116165505MedicaidTX
116165507MedicaidTX
116165509MedicaidTX
116165506MedicaidTX
116165508MedicaidTX

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
I20040805000764 TX Practitioner - Internal Medicine 0446221014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Well TX PLLCGroup PAC ID 3375805641, 10 clinicians

Practice addresses (Care Compare)

4740 14TH St
Suite T1
Plano, TX 75074-7318
Phone (469) 931-5731

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care Well TX PLLC CurrentSince Mar 2, 2024 Accepting new patients
Ajay J Pathak, MD PA Internal Medicine CurrentSince Jun 1, 2012 Accepting new patients

Locations

2501 E Hebron Pkwy
Ste 150
Carrollton, TX 75010
Phone (817) 881-1551

5899 Preston Rd
Ste 1002
Frisco, TX 75034
Phone (214) 449-1021

2833 Eldorado Pkwy
Ste 307
Frisco, TX 75033
Phone (972) 292-0300

6750 N MacArthur Blvd
Ste 209
Irving, TX 75039
Phone (469) 639-0953

4740 14th St
Ste T1
Plano, TX 75074
Phone (469) 931-5731

Interoperability endpoints

  • Direct secure messaging: dmcltrigo@yourcarecommunity.org

Organizations & group practices 2

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 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1912921990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 HEDGEROW DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245453",
            "telephone_number": "972-566-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 HEDGEROW DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245453",
            "telephone_number": "972-566-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIGO",
        "first_name": "LUIS",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116165502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116165505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116165507",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116165509",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116165506",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116165508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.