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ISMAEL CANTU GARCIA
NPI 1669889291
Internal Medicine in Mcallen, TX

Active since July 15, 2014PECOS EnrolledAccepts Medicare Assignment
101 E RIDGE RD, MCALLEN, TX 78503(956) 632-6600 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2025, Nov 12, 2024, Oct 17, 2018 (3 updates tracked since 2018).

About Ismael Cantu Garcia NPPES

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

ISMAEL CANTU GARCIA (NPI 1669889291) is an individual internal medicine provider in Mcallen, Texas, licensed in Texas (R5095) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1669889291
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameISMAEL CANTU GARCIA
Location Address101 E RIDGE RDMcallen, TX 78503-1847
Mailing Address101 E Ridge RdMcallen, TX 78503-1847 · (956) 632-6600
Phone(956) 632-6600
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 15, 2014
Last NPPES UpdateApril 28, 20253 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1669889291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · R5095
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.
Also ListedHospitalistTaxonomy 208M00000X · License R5095 (TX)
101 E RIDGE RD, Mcallen, TX 78503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..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

Ismael Cantu Garcia 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 ID941594816
PECOS Enrollment IDI20181024000111
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 Reassignments

5

Medicare enrollment records show Ismael Cantu Garcia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcallen Hospitalist Group, PLLC
5.8 mi
Internal Medicine
1400 W TRENTON RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
NPI 1356361976 (956) 388-2187
Bhs Physicians Network, Inc
237 mi
Family Medicine
502 MADISON OAK DR STE 310
San Antonio, TX 78258
  • Reassigned Medicare billing, Texas enrollment
  • 964 clinicians in this Medicare group
NPI 1598958431 (210) 483-8883
Hni Medical Services
281 mi
Hospitalist
7500 RIALTO BLVD STE 1-140
Austin, TX 78735
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group
NPI 1366735169 (512) 730-3060
Hni Physician Services Of Texas, Inc
281 mi
Internal Medicine
7500 RIALTO BLVD STE 1-140
Austin, TX 78735
  • Reassigned Medicare billing, Texas enrollment
  • 80 clinicians in this Medicare group
NPI 1538729744 (512) 730-3056
Hni Hospital Services Of Texas, Inc
292 mi
Internal Medicine
12042 BITTERN HOLW
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 43 clinicians in this Medicare group
NPI 1053884080 (512) 730-3060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
145 services58 patients
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.
92 services44 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.
58 services56 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
32 services26 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.
25 services25 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450128
Location1401 East Eight StreetWeslaco, TX 78596 · Hidalgo County
Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · 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
$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.

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.

COLUMBIA RIO GRANDE HEALTHCARE, L.P.
General Acute Care Hospital
101 E RIDGE RD
MCALLEN, TX 78503
Hidalgo County (956) 632-6000
CATHERINE PAOLA MATOS MUNOZ
Student in an Organized Health Care Education/Training Program
101 E RIDGE RD
MCALLEN, TX 78503
Hidalgo County (956) 632-6000
VANESSA KAYLIN RAMOS CAPOBRES
Physical Therapist
101 E RIDGE RD
MCALLEN, TX 78503
Hidalgo County (956) 632-6000
JOB JAMES NELSON CCP
Perfusionist
101 E RIDGE RD
MCALLEN, TX 78503
Hidalgo County (956) 632-6611
GERMAN CANDANEDO M.D.
Emergency Medicine
101 E RIDGE RD
MCALLEN, TX 78503
Hidalgo County (956) 878-4336
COLUMBIA RIO GRANDE HEALTHCARE, L.P.
Clinic/Center (Ambulatory Surgical)
101 E RIDGE RD
MCALLEN, TX 78503
Hidalgo County (956) 632-6000
EDUARDO MIGUEL GUERRA VALENCIA M.D.
Family Medicine
101 E RIDGE RD
MCALLEN, TX 78503
Hidalgo County (570) 441-5964
IVAN MOGOLLON M.D.
Student in an Organized Health Care Education/Training Program
101 E RIDGE RD
MCALLEN, TX 78503
Hidalgo County (956) 296-1423

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 Ismael Cantu Garcia's NPI number?

The NPI number for Ismael Cantu Garcia is 1669889291. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Ismael Cantu Garcia located?

Ismael Cantu Garcia practices at 101 E Ridge Rd, Mcallen, TX 78503. The listed phone number is (956) 632-6600.

What is Ismael Cantu Garcia's specialty?

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

Is Ismael Cantu Garcia enrolled in Medicare?

Yes. Ismael Cantu Garcia 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 organizations bill Medicare for Ismael Cantu Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ismael Cantu Garcia reassigns Medicare benefits to 5 organizations: Mcallen Hospitalist Group, PLLC (Edinburg, TX), Bhs Physicians Network, Inc (San Antonio, TX), Hni Medical Services (Austin, TX), Hni Physician Services Of Texas, Inc (Austin, TX) and Hni Hospital Services Of Texas, Inc (Austin, TX). Each 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 Ismael Cantu Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ismael Cantu Garcia accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Ismael Cantu Garcia 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 Ismael Cantu Garcia affiliated with any hospitals?

According to CMS data, Ismael Cantu Garcia is affiliated with Vhs Harlingen Hospital Company LLC, South Texas Health System, Knapp Medical Center and Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Ismael Cantu Garcia was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.