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

Q: 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.

Q: What is Miguel Sanchez Rivas's specialty?

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

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 4 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 13 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.