NPIMap

Individual provider Active NPI

Jorge Luis Vazquez, M.D.

  • Nephrology Physician
  • Corpus Christi, TX
National Provider Identifier
1942245295
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M2518 Issued in TX
Practice address
614 Furman Ave
Corpus Christi, TX 78404-2325
Phone
(361) 882-9278
Fax
(361) 882-9279
NPI assigned
Jun 19, 2006
Last updated
Sep 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M2518 TX Primary

Addresses

Primary practice location

614 Furman Ave
Corpus Christi, TX 78404-2325

Mailing address

901 Medical Center Boulevard
Alice, TX 78332
Phone (361) 664-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060210000481 TX Practitioner - NephrologyPractitioner - Internal Medicine 4880609908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Area Kidney Disease Physicians, PLLCGroup PAC ID 2860478815, 9 clinicians

Practice addresses (Care Compare)

614 Furman Ave
Corpus Christi, TX 78404-2325
Phone (361) 882-9278

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renalpartners Foundations Nephrology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jvazquez24193@direct.acumenmd.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1942245295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MEDICAL CENTER BOULEVARD",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "78332",
            "telephone_number": "361-664-2440",
            "fax_number": "361-664-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 FURMAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042325",
            "telephone_number": "361-882-9278",
            "fax_number": "361-882-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M2518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.