DR. DELISA EVA GUADARRAMA MD
NPI 1356637227
Psychiatry & Neurology - Child & Adolescent Psychiatry in Edinburg, TX
About Dr. Delisa Eva Guadarrama Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DELISA EVA GUADARRAMA MD (NPI 1356637227) is an individual child & adolescent psychiatry provider in Edinburg, Texas, licensed in Texas (Q7693) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Edinburg, and is a graduate of University Of Texas Medical School At San Antonio (2011).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
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. Delisa Eva Guadarrama 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
3Medicare enrollment records show Delisa Guadarrama reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 219 clinicians in this Medicare group
Corpus Christi, TX 78411
- Reassigned Medicare billing, Texas enrollment
- 510 clinicians in this Medicare group
Portland, TX 78374
- Reassigned Medicare billing, Texas enrollment
- 19 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 3
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.
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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDINBURG, TX 78539
EDINBURG, TX 78539
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 Delisa Guadarrama's NPI number?
The NPI number for Delisa Guadarrama is 1356637227. It was assigned to this individual provider in the NPPES registry on June 20, 2011.
Where is Delisa Guadarrama located?
Delisa Guadarrama practices at 2821 Michaelangelo Dr Ste 204, Edinburg, TX 78539. The listed phone number is (956) 362-8290.
What is Delisa Guadarrama's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Delisa Guadarrama enrolled in Medicare?
Yes. Delisa Guadarrama 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 Delisa Guadarrama's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Delisa Guadarrama reassigns Medicare benefits to 3 organizations: Renaissance Medical Foundation (Edinburg, TX), Children's Physician Services Of South Texas (Corpus Christi, TX) and Coastal Plains Community Mhmr Center (Portland, 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 Delisa Guadarrama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Delisa Guadarrama 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 6 other insurers list Delisa Guadarrama 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 Delisa Guadarrama was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.