Organization provider

CARLOS J MEDRANO MD PA

Primary Care Clinic/Center Urgent Care Clinic/Center Family Medicine Physician Medicare enrolled

CARLOS J MEDRANO MD PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1245428259, based in Edinburg, TX. The organization lists 3 taxonomy classifications, with Primary Care Clinic/Center recorded as primary.

Getting there

The practice address on file is 304 S JACKSON RD, Edinburg, TX 78539. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

304 S JACKSON RD, Edinburg, TX 78539 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
K8662 TX Primary Care Clinic/Center primary
K8662 TX Urgent Care Clinic/Center
K8662 TX Family Medicine Physician

This provider holds licence K8662 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
6305898479
Enrollment ID
O20050216000964

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Primary Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 261QP2300X
Ambulatory Health Care Facilities Clinic/Center Primary Care

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
261QP2300X Primary Care Clinic/Center Primary Care K8662 TX primary
261QU0200X Urgent Care Clinic/Center Urgent Care K8662 TX
207Q00000X Family Medicine Physician K8662 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1245428259 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateOct 4, 2007
Last updatedOct 4, 2007
StatusActive
Practice address 304 S JACKSON RD
Edinburg, TX 78539
(956) 380-1911
Fax (956) 380-1913
This record was last updated on Oct 4, 2007, roughly 18 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1245428259 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 4 5 4 2 8 2 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 8 5 8 2 7 2 1

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1245428259?
NPI 1245428259 is the National Provider Identifier assigned to CARLOS J MEDRANO MD PA in Edinburg, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Primary Care cover?
Definition to come...
How do I contact CARLOS J MEDRANO MD PA?
The phone number on file with NPPES is (956) 380-1911, last updated Oct 4, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does CARLOS J MEDRANO MD PA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1245428259 a valid number?
Yes. 1245428259 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.