EDUARDO MIGUEL GUERRA VALENCIA M.D.
NPI 1154568558
Family Medicine in Mcallen, TX
About Eduardo Miguel Guerra Valencia M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDUARDO MIGUEL GUERRA VALENCIA M.D. (NPI 1154568558) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (P1646) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Rio Grande Regional Hospital, and maintains a secondary practice location in Mcallen.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 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
Eduardo Miguel Guerra Valencia M.d. 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 Reassignment
Medicare enrollment records show Eduardo Guerra Valencia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78735
- Reassigned Medicare billing, Texas enrollment
- 241 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rio Grande Regional Hospital
Acute Care Hospitals · Mcallen, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCALLEN, TX 78503
MCALLEN, TX 78503
MCALLEN, TX 78503
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 Eduardo Guerra Valencia's NPI number?
The NPI number for Eduardo Guerra Valencia is 1154568558. It was assigned to this individual provider in the NPPES registry on January 7, 2009.
Where is Eduardo Guerra Valencia located?
Eduardo Guerra Valencia practices at 101 E Ridge Rd, Mcallen, TX 78503. The listed phone number is (570) 441-5964.
What is Eduardo Guerra Valencia's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Eduardo Guerra Valencia enrolled in Medicare?
Yes. Eduardo Guerra Valencia 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 organization bills Medicare for Eduardo Guerra Valencia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eduardo Guerra Valencia reassigns Medicare benefits to Hni Medical Services (Austin, TX). The 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 Eduardo Guerra Valencia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eduardo Guerra Valencia accept?
Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Eduardo Guerra Valencia 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 Eduardo Guerra Valencia affiliated with any hospitals?
According to CMS data, Eduardo Guerra Valencia is affiliated with Rio Grande Regional Hospital.
When was this NPI record last updated?
The NPPES record for Eduardo Guerra Valencia was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Eduardo Miguel Guerra Valencia, M.D. · NPI 1154568558
Family Medicine physician in Mcallen, Texas. Individual provider, active in the CMS NPPES registry since January 7, 2009.
## Identity
- **NPI:** 1154568558 (Entity type: Individual)
- **Enumerated:** January 7, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** P1646 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 E RIDGE RD, Mcallen, TX 78503
- **Phone:** (570) 441-5964
## 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:** Hni Medical Services (NPI 1366735169, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** January 2, 2025
- **Other identifiers:** Medicaid 296889302 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1154568558) · Data from the CMS NPPES public registry.