Abdias Demetree Etienne, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N1626 Issued in TX

Practice address

502 S Closner Blvd
Edinburg, TX 78539-4660

Phone

(956) 292-0100

Fax

(956) 383-1906

NPI assigned

Jun 23, 2008

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Monzer H Yazji MD and Associates PLLCGroup PAC ID 2062470529, 83 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abdias.etienne.1@33464.direct.athenahealth.com

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.

• Monzer H Yazji MD & Associates PLLC

  dba Asas Health

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1073508545

  Family Medicine

  Medicare reassignment Care Compare group NPD
• South Texas Physician Partners PLLC

  dba ASAS Health

  • Internal Medicine Physician
  • Mission, TX
  • NPI 1801580097

  Family Medicine

  Medicare reassignment NPD
• Clinica San Martin de Porres

  • Health Service Clinic/Center
  • McAllen, TX
  • NPI 1114166014
  NPD (past) Authorized official
• Valley Palliative Physicians Group, PA.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Edinburg, TX
  • NPI 1922246792
  NPD (past) Authorized official
• McAllen Hospitalist Group, PLLC

  dba Valley Care Clinics

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1356361976

  Family Medicine

  NPD
• Pax Villa, Inc.

  • Community Based Hospice Care Agency
  • McAllen, TX
  • NPI 1033395223

  Family Medicine

  NPD

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1972764827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-292-0100",
            "fax_number": "956-383-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S CLOSNER BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394660",
            "telephone_number": "956-292-0100",
            "fax_number": "956-383-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "ABDIAS",
        "middle_name": "DEMETREE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "248937",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonel Jorge Favio Estofan, MD
• Itzel Guadalupe Estrada
• Micaela Maria Estrada, LPC
• Johnny F Estrellado, M.D.
• Eternal Happiness PHC Services LLC
• Eugene S Mackie MD PA (The Mackie Clinic)
• Eutiquio M. Elizondo Jr DDS PC
• Evangelic Primary Home Care, LLC
• Lalin Fe Plete Evangelista, PT, DPT
• Evergreen Psychiatric Services, PLLC

• Family Medicine Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.