DR. ARGELIA CLEMENTINA DOUGLAS M.D.
NPI 1649360439
Pediatrics in Edinburg, TX
About Dr. Argelia Clementina Douglas M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ARGELIA CLEMENTINA DOUGLAS M.D. (NPI 1649360439) is an individual pediatrics provider in Edinburg, Texas, licensed in Texas (J8999) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
Other Identifiers 3
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. Argelia Clementina Douglas 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 Argelia Douglas 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
- 2 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Texas Health System
Acute Care Hospitals · Edinburg, TXDoctors 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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Argelia Douglas's NPI number?
The NPI number for Argelia Douglas is 1649360439. It was assigned to this individual provider in the NPPES registry on October 13, 2006.
Where is Argelia Douglas located?
Argelia Douglas practices at 5007 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 587-0555.
What is Argelia Douglas's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Argelia Douglas enrolled in Medicare?
Yes. Argelia Douglas 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 Argelia Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Argelia Douglas reassigns Medicare benefits to Advanced Family Care PLLC (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 Argelia Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Argelia Douglas 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 Argelia Douglas 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 Argelia Douglas affiliated with any hospitals?
According to CMS data, Argelia Douglas is affiliated with South Texas Health System and Doctors Hosptal At Renaissance.
When was this NPI record last updated?
The NPPES record for Argelia Douglas was last updated on July 30, 2024. 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.
# Dr. Argelia Clementina Douglas, M.D. · NPI 1649360439
Pediatrics physician in Edinburg, Texas. Individual provider, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1649360439 (Entity type: Individual)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** J8999 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5007 S MCCOLL RD, Edinburg, TX 78539-8080
- **Phone:** (956) 587-0555 · **Fax:** (956) 587-0550
## 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:** Advanced Family Care PLLC (NPI 1144921891, Edinburg, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** July 30, 2024
- **Other identifiers:** Medicaid 213904001 (TX); Medicaid 213904002 (TX); Other 1376857706 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1649360439) · Data from the CMS NPPES public registry.