DR. CELIA ESTELA PANTOJA ROJAS MD
NPI 1659496180
Internal Medicine in Edinburg, TX

Q: What is Celia Pantoja Rojas's NPI number?

The NPI number for Celia Pantoja Rojas is 1659496180. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Q: What is Celia Pantoja Rojas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment

5501 S MCCOLL RD, EDINBURG, TX 78539(956) 362-8677(956) 362-7253 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2018, Nov 13, 2017 (2 updates tracked since 2017).

On this page

About Dr. Celia Estela Pantoja Rojas Md NPPES

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

DR. CELIA ESTELA PANTOJA ROJAS MD (NPI 1659496180) is an individual internal medicine provider in Edinburg, Texas, licensed in Texas (N5314) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and maintains a secondary practice location in Mcallen.

NPPES Registry Identity

NPI1659496180

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. CELIA ESTELA PANTOJA ROJASCredential: MD

Location Address5501 S MCCOLL RDEdinburg, TX 78539-5503

Mailing AddressPo Box 5958Mcallen, TX 78502-5958 · (956) 362-8677 · Fax (956) 362-7253

Phone(956) 362-8677

Fax(956) 362-7253

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateMarch 21, 2007

Last NPPES UpdateApril 19, 20232 updates tracked since enumeration

NPPES CertifiedApril 19, 2023

✔ NPI 1659496180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · N5314

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5501 S MCCOLL RD, Edinburg, TX 78539

Open in Google Maps ↗

Secondary Practice Location 1

Location 14418 N. MCCOLL ROADMCALLEN, TX 78504 · Phone (956) 994-3771 · Fax (956) 994-9082

Other Identifiers 1

Medicaid216107713TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Celia Estela Pantoja Rojas Md 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 ID2365535861

PECOS Enrollment IDI20100928000737, I20211012000952

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 5

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 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

318 services133 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.

85 services82 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

64 services63 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

42 services41 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.

24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450033

Location2101 Pease StHarlingen, TX 78550 · Cameron County

Emergency services Birthing friendly

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

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

97%32 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers17 claims17 services$15.54 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers31 claims31 services$80.54 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. ADOLFO ARTEAGA APRN-CNP

Nurse Practitioner (Acute Care)