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MR. RAUL SUSTAITA NP
NPI 1801894704
Nurse Practitioner in Donna, TX

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
2010 EAST BUSINESS 83, DONNA, TX 78537(956) 461-6666(956) 461-6670 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Raul Sustaita Np NPPES

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

MR. RAUL SUSTAITA NP (NPI 1801894704) is an individual nurse practitioner in Donna, Texas, licensed in Texas (649350) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1801894704
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. RAUL SUSTAITACredential: NP
Location Address2010 EAST BUSINESS 83Donna, TX 78537-3500
Mailing Address2010 East Business 83Donna, TX 78537-3500 · (956) 461-6666 · Fax (956) 461-6670
Phone(956) 461-6666
Fax(956) 461-6670
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 13, 2005
Last NPPES UpdateDecember 9, 2011
✔ NPI 1801894704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 649350
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2010 EAST BUSINESS 83, Donna, TX 78537
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Other Identifiers 2

Medicare ID-Type Unspecified8C7874TX · Medicare Number
Medicare UPINQ28315TX

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

Mr. Raul Sustaita Np 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 ID7719941475
PECOS Enrollment IDI20041112001181
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

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 78537 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.

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 Raul Sustaita's NPI number?

The NPI number for Raul Sustaita is 1801894704. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Raul Sustaita located?

Raul Sustaita practices at 2010 East Business 83, Donna, TX 78537. The listed phone number is (956) 461-6666.

What is Raul Sustaita's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Raul Sustaita enrolled in Medicare?

Yes. Raul Sustaita 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 Raul Sustaita 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 3 other insurers list Raul Sustaita 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 Raul Sustaita affiliated with any hospitals?

According to CMS data, Raul Sustaita is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Raul Sustaita was last updated on December 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.