DR. LUIS G SAN MIGUEL D.O.
NPI 1508830985
Family Medicine in Mcallen, TX

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
301 W EXPRESSWAY 83, MCALLEN, TX 78503(956) 632-4000(956) 961-4286 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Feb 20, 2018 (2 updates tracked since 2018).

About Dr. Luis G San Miguel D.o. NPPES

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

DR. LUIS G SAN MIGUEL D.O. (NPI 1508830985) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (K5201) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and maintains a secondary practice location in Mcallen.

NPPES Registry Identity

NPI1508830985
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LUIS G SAN MIGUELCredential: D.O.
Location Address301 W EXPRESSWAY 83Mcallen, TX 78503-3045
Mailing AddressPo Box 3046Malvern, PA 19355-0746 · (956) 632-4000 · Fax (956) 961-4286
Fax(956) 961-4286
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1991
Enumeration DateFebruary 14, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1508830985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K5201
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License K5201 (TX)
301 W EXPRESSWAY 83, Mcallen, TX 78503

Secondary Practice Location 1

Location 1713 N Ware RdMcAllen, TX 78501-6616 · Phone (956) 682-8496 · Fax (956) 682-0590

Other Identifiers 4

Medicaid156530101TX
OtherTXB145154TX · Wellmed Medical Group Pa
Medicaid112000804TX
Medicaid156530102TX

Accepted 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. Luis G San Miguel 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 ID7113077140
PECOS Enrollment IDI20100115000776
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
182 services46 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Emergency Medicine
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Nurse Anesthetist, Certified Registered
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Hospitalist
301 W EXPRESSWAY 83
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
301 W EXPRESSWAY 83
MCALLEN, TX 78503

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 San Miguel's NPI number?

The NPI number for Luis San Miguel is 1508830985. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Luis San Miguel located?

Luis San Miguel practices at 301 W Expressway 83, Mcallen, TX 78503. The listed phone number is (956) 632-4000.

What is Luis San Miguel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Luis San Miguel enrolled in Medicare?

Yes. Luis San Miguel 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 Luis San Miguel accept?

Health plans from Blue Cross and Blue Shield of Texas list Luis San Miguel 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 Luis San Miguel affiliated with any hospitals?

According to CMS data, Luis San Miguel is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Luis San Miguel was last updated on March 17, 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.