DR. EDGAR L MOLINA (MD) – Pediatrics Physician, NPI 1629011861

DR. EDGAR L MOLINA (MD) is a healthcare provider. based in Georgetown, Texas. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. K1570 (TX). The NPI Number for DR. EDGAR L MOLINA (MD) is 1629011861

Main info

Male
36 Years Of Experience
Name
DR. EDGAR L MOLINA (MD)
NPI
1629011861
Phone
(877) 800-5722
Address
2423 WILLIAMS DR STE 107
Enumeration Date
14 June 2006
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
5092119099
Professional Enrollment ID
I20260204000296
Address ID
HI967402597KA78XXXDRXX412

Contacts

Secure Messaging
edgar.molina.p1@direct.lscctx.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

2,256 PEDIATRIC MEDICINE in TX

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Provider Addresses for DR. EDGAR L MOLINA (MD)

  • 2423 WILLIAMS DR STE 107

    GEORGETOWN, TX 786283269

    Phone: (877) 800-5722

    Type: Mailing

  • Bob Bullock Loop, Laredo, Webb County, Texas, 78043, United States

    LAREDO, TX 780434741

    Phone: (956) 725-2441

    Fax: (956) 725-3040

    Type: Mailing

  • 205 E UNIVERSITY AVE STE 200

    GEORGETOWN, TX 786266821

    Phone: (512) 686-0207

    Type: Mailing

  • 605 OLD AUSTIN HWY

    BASTROP, TX 786025034

    Phone: (877) 800-5722

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: SOBI, INC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SOBI, INC$24
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210813000335IPediatric MedicineTXTBD
I20260204000296IPediatric MedicineHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78628)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Can I cross-check DR. EDGAR L MOLINA (MD) using NPI 1629011861?
NPI 1629011861 belongs to DR. EDGAR L MOLINA (MD); compare other details if you need extra assurance.
Is there an active status for DR. EDGAR L MOLINA (MD)?
For scheduling context, DR. EDGAR L MOLINA (MD) is shown as active in the registry.
What clinical focus is listed for DR. EDGAR L MOLINA (MD)?
At a glance, DR. EDGAR L MOLINA (MD) is tied to Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Is DR. EDGAR L MOLINA (MD) located near Georgetown?
DR. EDGAR L MOLINA (MD) currently maps to Georgetown, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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