GUADALUPE DURAN MD
NPI 1013303916
Emergency Medicine in Laredo, TX
About Guadalupe Duran Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUADALUPE DURAN MD (NPI 1013303916) is an individual emergency medicine provider in Laredo, Texas, licensed in Texas (R6178) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Laredo Medical Center, and maintains a secondary practice location in Shreveport.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Guadalupe Duran Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
8Medicare enrollment records show Guadalupe Duran reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Laredo, TX 78041
- Reassigned Medicare billing, Texas enrollment
- 86 clinicians in this Medicare group
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 136 clinicians in this Medicare group
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 257 clinicians in this Medicare group
Alamo, TX 78516
- Reassigned Medicare billing, Texas enrollment
- 145 clinicians in this Medicare group
Austin, TX 78750
- Reassigned Medicare billing, Texas enrollment
- 93 clinicians in this Medicare group
Lumberton, TX 77657
- Reassigned Medicare billing, Texas enrollment
- 113 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,338 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,439 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Laredo Medical Center
Acute Care Hospitals · Laredo, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Guadalupe Duran's NPI number?
The NPI number for Guadalupe Duran is 1013303916. It was assigned to this individual provider in the NPPES registry on April 8, 2015.
Where is Guadalupe Duran located?
Guadalupe Duran practices at 1700 E Saunders St # Ed, Laredo, TX 78041. The listed phone number is (956) 796-5000.
What is Guadalupe Duran's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Guadalupe Duran enrolled in Medicare?
Yes. Guadalupe Duran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Guadalupe Duran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Guadalupe Duran reassigns Medicare benefits to 8 organizations: Laredo Emergency Medicine Associates PA (Laredo, TX), Shavano Emergency Medicine Associates, PA (Edinburg, TX), Edinburg Emergency Medicine Associates PA (Edinburg, TX), Canyon Springs Emergency Medicine Associates, PA (Alamo, TX), Austin ER Associates PLLC (Austin, TX) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guadalupe Duran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Guadalupe Duran accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health and Oscar Insurance Company list Guadalupe Duran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Guadalupe Duran affiliated with any hospitals?
According to CMS data, Guadalupe Duran is affiliated with Laredo Medical Center.
When was this NPI record last updated?
The NPPES record for Guadalupe Duran was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Guadalupe Duran, MD · NPI 1013303916
Emergency Medicine physician in Laredo, Texas. Individual provider, active in the CMS NPPES registry since April 8, 2015.
## Identity
- **NPI:** 1013303916 (Entity type: Individual)
- **Enumerated:** April 8, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** R6178 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1700 E SAUNDERS ST # ED, Laredo, TX 78041-5474
- **Phone:** (956) 796-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Laredo Emergency Medicine Associates PA (NPI 1144254327, Laredo, TX); Shavano Emergency Medicine Associates, PA (NPI 1255820775, Edinburg, TX); Edinburg Emergency Medicine Associates PA (NPI 1942467113, Edinburg, TX); Canyon Springs Emergency Medicine Associates, PA (NPI 1154825412, Alamo, TX); Austin ER Associates PLLC (NPI 1376114587, Austin, TX); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 2013
## Record status
- **NPPES last updated:** October 10, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1013303916) · Data from the CMS NPPES public registry.