DR. HENRY ROBERT HERRERA JR. M.D.
NPI 1386961720
Internal Medicine - Gastroenterology in Edinburg, TX
About Dr. Henry Robert Herrera Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HENRY ROBERT HERRERA JR. M.D. (NPI 1386961720) is an individual gastroenterology provider in Edinburg, Texas, licensed in Texas (P3347) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and maintains a secondary practice location in Rio Grande City.
NPPES Registry Identity
Specialties & Licenses
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
Dr. Henry Robert Herrera Jr. 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 Henry Herrera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 16 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 10
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.
Doctors Hosptal At Renaissance
Acute Care Hospitals · Edinburg, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78539 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDINBURG, TX 78539
EDINBURG, TX 78539
EDINBURG, TX 78539
EDINBURG, TX 78539
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 Henry Herrera's NPI number?
The NPI number for Henry Herrera is 1386961720. It was assigned to this individual provider in the NPPES registry on April 26, 2010.
Where is Henry Herrera located?
Henry Herrera practices at 5520 Leonardo Da Vinci Ste 100, Edinburg, TX 78539. The listed phone number is (956) 362-3636.
What is Henry Herrera's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Henry Herrera enrolled in Medicare?
Yes. Henry Herrera 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 Henry Herrera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Henry Herrera reassigns Medicare benefits to Renaissance Gastroenterology (Edinburg, 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 Henry Herrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Henry Herrera 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 2 other insurers list Henry Herrera 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 Henry Herrera affiliated with any hospitals?
According to CMS data, Henry Herrera is affiliated with Doctors Hosptal At Renaissance.
When was this NPI record last updated?
The NPPES record for Henry Herrera was last updated on March 27, 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.
# Dr. Henry Robert Herrera Jr., M.D. · NPI 1386961720
Gastroenterology physician in Edinburg, Texas. Individual provider, active in the CMS NPPES registry since April 26, 2010.
## Identity
- **NPI:** 1386961720 (Entity type: Individual)
- **Enumerated:** April 26, 2010
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** P3347 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5520 LEONARDO DA VINCI, STE 100, Edinburg, TX 78539-1422
- **Phone:** (956) 362-3636
## 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:** Renaissance Gastroenterology (NPI 1568890556, Edinburg, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 2010
## Record status
- **NPPES last updated:** March 27, 2023
- **Other identifiers:** Medicaid 357916101 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1386961720) · Data from the CMS NPPES public registry.