DR. EFRAIM VELA JR. M.D.
NPI 1912079401
Obstetrics & Gynecology in Edinburg, TX
About Dr. Efraim Vela Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EFRAIM VELA JR. M.D. (NPI 1912079401) is an individual obstetrics & gynecology provider in Edinburg, Texas, licensed in Texas (F8356) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Rio Grande Regional Hospital, and is a graduate of Meharry Medical College School Of Medicine (1980).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted 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. Efraim Vela Jr. 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.
Medicare Billing Reassignment
Medicare enrollment records show Efraim Vela reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 219 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rio Grande Regional Hospital
Acute Care Hospitals · Mcallen, TXDoctors Hosptal At Renaissance
Acute Care Hospitals · Edinburg, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78539 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
EDINBURG, TX 78539
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 Efraim Vela's NPI number?
The NPI number for Efraim Vela is 1912079401. It was assigned to this individual provider in the NPPES registry on November 14, 2006.
Where is Efraim Vela located?
Efraim Vela practices at 2821 Michaelangelo Dr Ste 202, Edinburg, TX 78539. The listed phone number is (956) 362-2465.
What is Efraim Vela's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Efraim Vela enrolled in Medicare?
Yes. Efraim Vela 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 organization bills Medicare for Efraim Vela's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Efraim Vela reassigns Medicare benefits to Renaissance Medical Foundation (Edinburg, TX). The 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 Efraim Vela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Efraim Vela 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 2 other insurers list Efraim Vela 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 Efraim Vela affiliated with any hospitals?
According to CMS data, Efraim Vela is affiliated with Rio Grande Regional Hospital and Doctors Hosptal At Renaissance.
When was this NPI record last updated?
The NPPES record for Efraim Vela was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Efraim Vela Jr., M.D. · NPI 1912079401
Obstetrics & Gynecology physician in Edinburg, Texas. Individual provider, active in the CMS NPPES registry since November 14, 2006.
## Identity
- **NPI:** 1912079401 (Entity type: Individual)
- **Enumerated:** November 14, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** F8356 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2821 MICHAELANGELO DR STE 202, Edinburg, TX 78539-1406
- **Phone:** (956) 362-2465 · **Fax:** (956) 362-2466
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Renaissance Medical Foundation (NPI 1467633867, Edinburg, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Meharry Medical College School Of Medicine, class of 1980
## Record status
- **NPPES last updated:** November 3, 2020
- **Other identifiers:** Other 4252002 (TX); Medicaid 117852704 (TX); Other 135936101 (TX); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1912079401) · Data from the CMS NPPES public registry.