Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MANUEL ALEJANDRO URBINA MD
NPI 1346767266
Internal Medicine - Nephrology in Mcallen, TX

Active since August 23, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3016 N MCCOLL RD STE C, MCALLEN, TX 78501(956) 800-1129(956) 800-1138 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2026, Aug 14, 2025, Mar 8, 2025 and 4 more (7 updates tracked since 2017).

About Dr. Manuel Alejandro Urbina Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MANUEL ALEJANDRO URBINA MD (NPI 1346767266) is an individual nephrology provider in Mcallen, Texas, licensed in Texas (T9520) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1346767266
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MANUEL ALEJANDRO URBINACredential: MD
Location Address3016 N MCCOLL RD STE CMcallen, TX 78501-5565
Mailing Address3016 N Mccoll RdMcallen, TX 78501-5564 · (956) 966-0552 · Fax (956) 800-1138
Fax(956) 800-1138
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 23, 2017
Last NPPES UpdateOctober 9, 20267 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1346767266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · T9520
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 33271R (PR)
3016 N MCCOLL RD STE C, Mcallen, TX 78501

Secondary Practice Locations 4

Location 12519 E Saunders St Ste 200Laredo, TX 78041-5438 · Phone (956) 727-2362
Location 2942 Wildrose LnBrownsville, TX 78520-8817 · Phone (956) 982-4484 · Fax (956) 982-4489
Location 38015 N Expressway 77Olmito, TX 78575-5171 · Phone (956) 982-4484 · Fax (956) 982-4489
Location 45617 Timbergate Dr Ste 100Corpus Christi, TX 78414-3193 · Phone (361) 880-8322 · Fax (361) 880-8422

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

Dr. Manuel Alejandro Urbina 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.

PECOS PAC ID1759767486
PECOS Enrollment IDI20221004002877
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Manuel Urbina reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3016 N MCCOLL RD STE C
Mcallen, TX 78501
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Nephrology
1203 ST CLAIRE BLVD UNIT 13B
Mission, TX 78572
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group
Nephrology
8015 N EXPRESSWAY 77
Olmito, TX 78575
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
Nephrology
5617 TIMBERGATE DR STE 100
Corpus Christi, TX 78414
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
Vascular & Interventional Radiology
6010 MCPHERSON RD STE 200
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 9 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 27

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
8,228 services173 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
167 services144 patients
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
133 services114 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
126 services83 patients
Insertion of tube into chest or arm artery, each first order branch 36215
This procedure involves placing a thin tube into a chest or arm artery. It is done to monitor blood pressure, take blood samples, or deliver medications. The tube may also be inserted into each first order branch, which are the initial divisions of the main artery.
87 services78 patients
Review by radiologist of arm or leg artery image 75710
This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.
82 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.83
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3016 N MCCOLL RD STE C
MCALLEN, TX 78501
Family Medicine
3016 N MCCOLL RD STE C
MCALLEN, TX 78501

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 Manuel Urbina's NPI number?

The NPI number for Manuel Urbina is 1346767266. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Manuel Urbina located?

Manuel Urbina practices at 3016 N Mccoll Rd Ste C, Mcallen, TX 78501. The listed phone number is (956) 800-1129.

What is Manuel Urbina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Manuel Urbina enrolled in Medicare?

Yes. Manuel Urbina 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 Manuel Urbina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manuel Urbina reassigns Medicare benefits to 5 organizations: Phoenix Primary Care & Wellness (Mcallen, TX), Upper Valley Interventional Nephrology, PLLC (Mission, TX), Rgv Vascular Access Center PLLC (Olmito, TX), Dialysis Access Center, LLP (Corpus Christi, TX) and Access Care Physicians Of Laredo, PLLC (Laredo, TX). 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 Manuel Urbina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manuel Urbina accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Manuel Urbina 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.

When was this NPI record last updated?

The NPPES record for Manuel Urbina was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.