FERNANDO E MEMBRENO M.D.
NPI 1942233929
Internal Medicine - Transplant Hepatology in Mcallen, TX

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
1100 E DOVE AVE STE 202, MCALLEN, TX 78504(956) 362-2410(956) 362-2414 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 3, 2020, Feb 24, 2017 (2 updates tracked since 2017).

About Fernando E Membreno M.d. NPPES

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

FERNANDO E MEMBRENO M.D. (NPI 1942233929) is an individual transplant hepatology provider in Mcallen, Texas, licensed in Texas (M4350) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1942233929
Entity TypeIndividualMale
Primary Taxonomy207RT0003X
Provider Legal NameFERNANDO E MEMBRENOCredential: M.D.
Location Address1100 E DOVE AVE STE 202Mcallen, TX 78504-4681
Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-2410 · Fax (956) 362-2414
Fax(956) 362-2414
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
NPI 1942233929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Transplant HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RT0003X
License Licensed in TX · M4350
Definition

An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License M4350 (TX)
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License M4350 (TX)
1100 E DOVE AVE STE 202, Mcallen, TX 78504

Other Identifiers 1

Medicaid181292711TX

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

Fernando E Membreno 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 ID244131845
PECOS Enrollment IDI20060920000255
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 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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
41 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%72 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
95%61 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Gerontology)
1100 E DOVE AVE STE 202
MCALLEN, TX 78504
Nurse Practitioner (Acute Care)
1100 E DOVE AVE STE 202
MCALLEN, TX 78504
Nurse Practitioner (Family)
1100 E DOVE AVE STE 202
MCALLEN, TX 78504
Internal Medicine (Hepatology)
1100 E DOVE AVE STE 202
MCALLEN, TX 78504
Physician Assistant
1100 E DOVE AVE STE 202
MCALLEN, TX 78504
Nurse Practitioner
1100 E DOVE AVE STE 202
MCALLEN, TX 78504

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 Fernando Membreno's NPI number?

The NPI number for Fernando Membreno is 1942233929. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Fernando Membreno located?

Fernando Membreno practices at 1100 E Dove Ave Ste 202, Mcallen, TX 78504. The listed phone number is (956) 362-2410.

What is Fernando Membreno's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Transplant Hepatology, with taxonomy code 207RT0003X.

Is Fernando Membreno enrolled in Medicare?

Yes. Fernando Membreno 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 Fernando Membreno 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 Fernando Membreno 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 Fernando Membreno affiliated with any hospitals?

According to CMS data, Fernando Membreno is affiliated with South Texas Health System, Methodist Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Fernando Membreno was last updated on August 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.