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DR. EMILIA C. DULGHERU M.D.
NPI 1407850100
Internal Medicine - Rheumatology in Edinburg, TX

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
1506 S LONE STAR WAY STE 3, EDINBURG, TX 78539(956) 362-2400(956) 362-2404 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Oct 20, 2023, Oct 18, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Emilia C. Dulgheru M.d. NPPES

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

DR. EMILIA C. DULGHERU M.D. (NPI 1407850100) is an individual rheumatology provider in Edinburg, Texas, licensed in Texas (L7361) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1407850100
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. EMILIA C. DULGHERUCredential: M.D.
Location Address1506 S LONE STAR WAY STE 3Edinburg, TX 78539-4977
Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-2400 · Fax (956) 362-2404
Phone(956) 362-2400
Fax(956) 362-2404
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJune 9, 2005
Last NPPES UpdateOctober 20, 20234 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1407850100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in TX · L7361
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1506 S LONE STAR WAY STE 3, Edinburg, TX 78539
Open in Google Maps ↗

Other Identifiers 3

Medicaid165809805TX
Medicaid207215203MO
Other215107MO · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Emilia C. Dulgheru 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.

PECOS PAC ID4082696661
PECOS Enrollment IDI20040607000920
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
117 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services22 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
24 services17 patients

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, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician 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.

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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

NALLELY LOZANO APRN-CNP
Nurse Practitioner (Family)
1506 S LONE STAR WAY STE 3
EDINBURG, TX 78539
Hidalgo County (956) 362-2400
DR. ANGELA CHRISTENSEN M.D.
Internal Medicine (Rheumatology)
1506 S LONE STAR WAY STE 3
EDINBURG, TX 78539
Hidalgo County (956) 362-2400
MRS. ESTELA GARCIA PA
Physician Assistant
1506 S LONE STAR WAY STE 3
EDINBURG, TX 78539
Hidalgo County (956) 362-2400

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 Emilia Dulgheru's NPI number?

The NPI number for Emilia Dulgheru is 1407850100. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Emilia Dulgheru located?

Emilia Dulgheru practices at 1506 S Lone Star Way Ste 3, Edinburg, TX 78539. The listed phone number is (956) 362-2400.

What is Emilia Dulgheru's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Emilia Dulgheru enrolled in Medicare?

Yes. Emilia Dulgheru 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.

What insurance does Emilia Dulgheru accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Emilia Dulgheru 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 Emilia Dulgheru affiliated with any hospitals?

According to CMS data, Emilia Dulgheru is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Emilia Dulgheru was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.