DR. LUIS FUENTES III D.O.
NPI 1487030417
General Practice in Corpus Christi, TX

Active since July 31, 2015PECOS EnrolledAccepts Medicare Assignment
4818 HOLLY RD STE A, CORPUS CHRISTI, TX 78411(361) 993-1747(361) 993-1748 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Luis Fuentes Iii D.o. NPPES

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

DR. LUIS FUENTES III D.O. (NPI 1487030417) is an individual general practice provider in Corpus Christi, Texas, licensed in Texas (R8190) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2015).

NPPES Registry Identity

NPI1487030417
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. LUIS FUENTES IIICredential: D.O.
Location Address4818 HOLLY RD STE ACorpus Christi, TX 78411
Mailing Address1641 Nile Dr Apt 422Corpus Christi, TX 78412-4965 · (956) 236-5477
Fax(361) 993-1748
Sole ProprietorYes
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2015
Enumeration DateJuly 31, 2015
Last NPPES UpdateAugust 29, 2018
✔ NPI 1487030417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in TX · R8190✔ Licensed in TX · BP10053714
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4818 HOLLY RD STE A, Corpus Christi, TX 78411

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. Luis Fuentes Iii D.o. 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 ID2668771874
PECOS Enrollment IDI20180920002918
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 Reassignment

Medicare enrollment records show Luis Fuentes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1533 S. BROWNLEE BLVD., STE. 100
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 36 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.

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 Luis Fuentes's NPI number?

The NPI number for Luis Fuentes is 1487030417. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Where is Luis Fuentes located?

Luis Fuentes practices at 4818 Holly Rd Ste A, Corpus Christi, TX 78411. The listed phone number is (361) 993-1747.

What is Luis Fuentes's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Luis Fuentes enrolled in Medicare?

Yes. Luis Fuentes 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 Luis Fuentes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Fuentes reassigns Medicare benefits to Amistad Community Health Center Incorporated (Corpus Christi, 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 Luis Fuentes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Fuentes 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 Luis Fuentes 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 Luis Fuentes was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.