ANDREW GONZALO PALACIOS
NPI 1609507466
Physician Assistant - Surgical in Tyler, TX

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
1020 E IDEL ST, TYLER, TX 75701(903) 535-2902 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Gonzalo Palacios NPPES

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

ANDREW GONZALO PALACIOS (NPI 1609507466) is an individual surgical provider in Tyler, Texas, licensed in Texas (PA17722) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609507466
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameANDREW GONZALO PALACIOS
Location Address1020 E IDEL STTyler, TX 75701-2024
Mailing Address1020 E Idel StTyler, TX 75701-2024 · (903) 535-2902
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 22, 2022
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
NPI 1609507466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · PA17722
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA17722 (TX)
1020 E IDEL ST, Tyler, TX 75701

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

Andrew Gonzalo Palacios 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 ID345687745
PECOS Enrollment IDI20240321000168
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.

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

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.

Nurse Practitioner
1020 E IDEL ST
TYLER, TX 75701
Physician Assistant (Medical)
1020 E IDEL ST
TYLER, TX 75701
Surgery (Surgical Critical Care)
1020 E IDEL ST
TYLER, TX 75701
Nurse Practitioner (Acute Care)
1020 E IDEL ST
TYLER, TX 75701
Surgery
1020 E IDEL ST
TYLER, TX 75701
Nurse Practitioner (Family)
1020 E IDEL ST
TYLER, TX 75701
Surgery (Surgical Critical Care)
1020 E IDEL ST
TYLER, TX 75701
Nurse Practitioner
1020 E IDEL ST
TYLER, TX 75701

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 Andrew Palacios's NPI number?

The NPI number for Andrew Palacios is 1609507466. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Andrew Palacios located?

Andrew Palacios practices at 1020 E Idel St, Tyler, TX 75701. The listed phone number is (903) 535-2902.

What is Andrew Palacios's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Andrew Palacios enrolled in Medicare?

Yes. Andrew Palacios 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 Andrew Palacios accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Andrew Palacios 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 Andrew Palacios affiliated with any hospitals?

According to CMS data, Andrew Palacios is affiliated with Ut Health East Texas Tyler Regional Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Palacios was last updated on March 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.