Organization Active NPI

Summit Medical and Obesity Associates PLLC

  • Internal Medicine Physician
  • Laredo, TX
National Provider Identifier
1922797869
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUMMIT MEDICAL AND OBESITY ASSOCIATES PLLC
Practice address
6801 McPherson Rd Ste 332
Laredo, TX 78041-6417
Phone
(412) 499-1191
NPI assigned
May 5, 2023
Last updated
May 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Dr. Luis Carlos Corral Guerrero, MDNPI 1164835195
Title
Manager
Phone
(412) 499-1191

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

6801 McPherson Rd Ste 332
Laredo, TX 78041-6417

Mailing address

6801 McPherson Rd Ste 332
Laredo, TX 78041-6417
Phone (412) 499-1191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230623001767 TX Part B Supplier - Clinic/Group Practice 7810355823 Receives reassigned benefits from 4 practitioners
Practice locations: Laredo, 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
45D2287609Summit Medical and Obesity Associates6801 McPherson Road Suite 332, Laredo, TX 78041Certificate of waiverAug 14, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1922797869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MCPHERSON RD STE 332",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416417",
            "telephone_number": "412-499-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MCPHERSON RD STE 332",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416417",
            "telephone_number": "412-499-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL AND OBESITY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "CORRAL GUERRERO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "412-499-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.