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DR. GUSTAVO LICEA M.D.
NPI 1871527036
Anesthesiology in Edinburg, TX

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
3513 W ALBERTA RD, EDINBURG, TX 78539(956) 664-9771(956) 664-9773 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gustavo Licea M.d. NPPES

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

DR. GUSTAVO LICEA M.D. (NPI 1871527036) is an individual anesthesiology provider in Edinburg, Texas, licensed in Texas (J2657) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cornerstone Regional Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1984).

NPPES Registry Identity

NPI1871527036
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. GUSTAVO LICEACredential: M.D.
Location Address3513 W ALBERTA RDEdinburg, TX 78539-8466
Mailing AddressPo Box 720550Mcallen, TX 78504-0550 · (956) 664-9771 · Fax (956) 664-9773
Phone(956) 664-9771
Fax(956) 664-9773
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1984
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871527036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in TX · J2657
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3513 W ALBERTA RD, Edinburg, TX 78539
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Other Identifiers 2

Medicare ID-Type Unspecified89542KTX
Medicare UPINE54351TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Gustavo Licea 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 ID6800704834
PECOS Enrollment IDI20031121000908
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

3

Medicare enrollment records show Gustavo Licea reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia LLC
5.1 mi
Anesthesiology
301 W EXPRESSWAY 83
Mcallen, TX 78503
  • Reassigned Medicare billing, Texas enrollment
  • 300 clinicians in this Medicare group
NPI 1346570355 (877) 959-6721
Acema Group, PA
8.0 mi
Anesthesiology
900 S BRYAN RD
Mission, TX 78572
  • Reassigned Medicare billing, Texas enrollment
  • 26 clinicians in this Medicare group
NPI 1841438785 (956) 323-9000
Northstar Anesthesia II PA
439 mi
Anesthesiology
11801 SOUTH FWY
Burleson, TX 76028
  • Reassigned Medicare billing, Texas enrollment
  • 429 clinicians in this Medicare group
NPI 1477066405 (817) 293-9110

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 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.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
30 services29 patients
Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938
This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Cornerstone Regional Hospital

Acute Care Hospitals · Edinburg, TX
OwnershipProprietary
CMS Certification Number450825
Location2302 Cornerstone BoulevardEdinburg, TX 78539 · Hidalgo County
Emergency services

Other Providers at the Same Location NPPES 13

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

ZBIGNIEW KUSMIERZ MD
Anesthesiology (Pain Medicine)
3513 W ALBERTA RD
EDINBURG, TX 78539
Hidalgo County (956) 664-9771
VALLEY ANESTHESIA CONSULTANTS & PAIN MANGEMENT PA
Anesthesiology
3513 W ALBERTA RD
EDINBURG, TX 78539
Hidalgo County (956) 664-9771
SOUTHERN CHIROPRACTIC CLINIC LLC
Chiropractor
3513 W ALBERTA RD
EDINBURG, TX 78539
Hidalgo County (956) 627-0385
MRS. RUTH D POWERS CRNA
Anesthesiology
3513 W ALBERTA RD
EDINBURG, TX 78539
Hidalgo County (956) 664-9771
TIMOTHY R ANDREWS CRNA
Nurse Anesthetist, Certified Registered
3513 W ALBERTA RD
EDINBURG, TX 78539
Hidalgo County (956) 664-9771
RGV ANESTHESIA ASSOCIATES PA
Anesthesiology
3513 W ALBERTA RD
EDINBURG, TX 78539
Hidalgo County (956) 664-9771
SOUTHERN TEXAS CHIROPRACTIC CLINIC
Chiropractor
3513 W ALBERTA RD
EDINBURG, TX 78539
Hidalgo County (956) 627-0385
AMORCITOS HOME CARE
Home Health
3513 W ALBERTA RD
EDINBURG, TX 78539
Hidalgo County (956) 929-1549

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 Gustavo Licea's NPI number?

The NPI number for Gustavo Licea is 1871527036. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Gustavo Licea located?

Gustavo Licea practices at 3513 W Alberta Rd, Edinburg, TX 78539. The listed phone number is (956) 664-9771.

What is Gustavo Licea's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Gustavo Licea enrolled in Medicare?

Yes. Gustavo Licea 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 Gustavo Licea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Licea reassigns Medicare benefits to 3 organizations: Premier Anesthesia Of Huntsville A Division Of Premier Anesthesia LLC (Mcallen, TX), Acema Group, PA (Mission, TX) and Northstar Anesthesia II PA (Burleson, 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 Gustavo Licea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gustavo Licea accept?

Health plans from Blue Cross and Blue Shield of Texas list Gustavo Licea 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 Gustavo Licea affiliated with any hospitals?

According to CMS data, Gustavo Licea is affiliated with Cornerstone Regional Hospital.

When was this NPI record last updated?

The NPPES record for Gustavo Licea was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.