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DR. MIGUEL A SANCHEZ RIVAS M.D.
NPI 1851827166
Family Medicine in Mcallen, TX

Active since May 05, 2017PECOS EnrolledAccepts Medicare Assignment
110 E. SAVANNAH AVE, BLDG B STE 203, MCALLEN, TX 78503(956) 686-7611(956) 618-3164 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 25, 2025, Mar 10, 2022, Dec 15, 2020 (3 updates tracked since 2020).

About Dr. Miguel A Sanchez Rivas M.d. NPPES

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

DR. MIGUEL A SANCHEZ RIVAS M.D. (NPI 1851827166) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (S6296) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1851827166
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MIGUEL A SANCHEZ RIVASCredential: M.D.
Location Address110 E. SAVANNAH AVE, BLDG B STE 203Mcallen, TX 78503
Mailing Address3718 Los Lagos Dr.Edinburg, TX 78542 · (956) 295-4232
Phone(956) 686-7611
Fax(956) 618-3164
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 5, 2017
Last NPPES UpdateJune 25, 20253 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1851827166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · S6296
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License S6296 (TX)
110 E. SAVANNAH AVE, Mcallen, TX 78503
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Miguel A Sanchez Rivas 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.

PECOS PAC ID8426460452
PECOS Enrollment IDI20210203001659
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

6

Medicare enrollment records show Miguel Sanchez Rivas reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

MD Hospitalists PLLC
Same address
Hospitalist
110 E SAVANNAH AVE, BLDG B SUITE 203
Mcallen, TX 78503
  • Reassigned Medicare billing, Texas enrollment
  • 40 clinicians in this Medicare group
NPI 1235672809 (956) 686-7611
Wound Care Institute Of Texas, PLLC
2.5 mi
Undersea and Hyperbaric Medicine
2101 S M ST STE A
Mcallen, TX 78503
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1275142622 (956) 317-4044
Padmini Bhadriraju MD P.A.
5.0 mi
Hospitalist
5215 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 48 clinicians in this Medicare group
NPI 1619278876 (956) 631-7100
Mcallen Hospitalist Group, PLLC
5.9 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
Urgent Care Center By Dmd LLC
7.8 mi
Urgent Care
1112 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1396563417 (956) 624-7208
Adult & Pediatric Medicine By Sandubs
39 mi
Family Medicine
1627 E US HIGHWAY 83
Rio Grande City, TX 78582
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1720802846 (956) 716-1665

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 6

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 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.
508 services111 patients
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.
237 services50 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.
75 services67 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.
72 services64 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
49 services48 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.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

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

Mission Regional Medical Center

Acute Care Hospitals · Mission, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450176
Location900 South Bryan RoadMission, TX 78572 · Hidalgo County
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
$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.

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
2 suppliers29 claims29 services$16.24 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
2 suppliers29 claims29 services$78.56 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYO KIDNEY CARE PA
Internal Medicine (Nephrology)
110 E. SAVANNAH AVE, BLDG C SUITE 201
MCALLEN, TX 78503
Hidalgo County (956) 800-1820
NADIR BALUCH MD
Family Medicine
110 E. SAVANNAH AVE, BLDG B STE 203
MCALLEN, TX 78503
Hidalgo County (956) 686-7611
DR. JUAN MANUEL ROJAS MD
Internal Medicine
110 E. SAVANNAH AVE, BLDG B STE 203
MCALLEN, TX 78503
Hidalgo County (956) 686-7611
WERWIN LABRADOR NP
Nurse Practitioner (Family)
110 E. SAVANNAH AVE
MCALLEN, TX 78503
Hidalgo County (956) 686-7611

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 Miguel Sanchez Rivas's NPI number?

The NPI number for Miguel Sanchez Rivas is 1851827166. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Where is Miguel Sanchez Rivas located?

Miguel Sanchez Rivas practices at 110 E. Savannah Ave Bldg B Ste 203, Mcallen, TX 78503. The listed phone number is (956) 686-7611.

What is Miguel Sanchez Rivas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miguel Sanchez Rivas enrolled in Medicare?

Yes. Miguel Sanchez Rivas 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 Miguel Sanchez Rivas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Sanchez Rivas reassigns Medicare benefits to 6 organizations: MD Hospitalists PLLC (Mcallen, TX), Wound Care Institute Of Texas, PLLC (Mcallen, TX), Padmini Bhadriraju MD P.A. (Edinburg, TX), Mcallen Hospitalist Group, PLLC (Edinburg, TX), Urgent Care Center By Dmd LLC (Edinburg, TX) and 1 more organization, listed in the Medicare section above. 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 Miguel Sanchez Rivas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miguel Sanchez Rivas 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 Miguel Sanchez Rivas 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 Miguel Sanchez Rivas affiliated with any hospitals?

According to CMS data, Miguel Sanchez Rivas is affiliated with South Texas Health System, Knapp Medical Center and Mission Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Miguel Sanchez Rivas was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.