LORENA MATA JUAREZ M.D.
NPI 1861139404
Internal Medicine in Galveston, TX

Active since May 16, 2022PECOS EnrolledAccepts Medicare Assignment
400 HARBORSIDE DR STE 105-107, GALVESTON, TX 77555(409) 747-1883 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Feb 13, 2023, May 16, 2022 (3 updates tracked since 2022).

About Lorena Mata Juarez M.d. NPPES

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

LORENA MATA JUAREZ M.D. (NPI 1861139404) is an individual internal medicine provider in Galveston, Texas, licensed in Texas (V7573) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and maintains a secondary practice location in Pittsfield.

NPPES Registry Identity

NPI1861139404
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLORENA MATA JUAREZCredential: M.D.
Location Address400 HARBORSIDE DR STE 105-107Galveston, TX 77555-0001
Mailing AddressJr. Piura 180Lima, LIMA 15373
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 16, 2022
Last NPPES UpdateMay 8, 20253 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
NPI 1861139404 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 · V7573
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.
400 HARBORSIDE DR STE 105-107, Galveston, TX 77555

Secondary Practice Location 1

Location 1Berkshire Medical Center, 725 North StreetPittsfield, MA 04201 · Phone (413) 447-2322

Accepted 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

Lorena Mata Juarez 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 ID5193242311
PECOS Enrollment IDI20250509002788
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.

Hospital Affiliations CMS Care Compare 2

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

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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
$131.16 typical visit price
range $57.19 – $173.07
Typical copayment $32.79 (range $14.29 – $43.26)
Most-billed visit code 99204
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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 2

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

Nurse Practitioner (Family)
400 HARBORSIDE DR STE 105-107
GALVESTON, TX 77555
Nurse Practitioner (Family)
400 HARBORSIDE DR STE 105-107
GALVESTON, TX 77555

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 Lorena Mata Juarez's NPI number?

The NPI number for Lorena Mata Juarez is 1861139404. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Lorena Mata Juarez located?

Lorena Mata Juarez practices at 400 Harborside Dr Ste 105-107, Galveston, TX 77555. The listed phone number is (409) 747-1883.

What is Lorena Mata Juarez's specialty?

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

Is Lorena Mata Juarez enrolled in Medicare?

Yes. Lorena Mata Juarez 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 Lorena Mata Juarez accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Lorena Mata Juarez 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 Lorena Mata Juarez affiliated with any hospitals?

According to CMS data, Lorena Mata Juarez is affiliated with Berkshire Medical Center and University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Lorena Mata Juarez was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.