RENAISSANCE SPECIALTY SURGERY – Surgery Physician, NPI 1174952907

RENAISSANCE SPECIALTY SURGERY is a healthcare provider. based in Mcallen, Texas. specializing in Surgery Physician. The NPI Number for RENAISSANCE SPECIALTY SURGERY is 1174952907

Main info

Organization
Name
RENAISSANCE SPECIALTY SURGERY
NPI
1174952907
Phone
(956) 362-2171
Address
PO BOX 2975
Authorized Official
MRS. ADA X GONZALEZ ADMINISTRATOR
Enumeration Date
2 November 2013
Last Update Date
22 December 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:12State licenses:0Digital endpointsOther names

Provider Addresses for RENAISSANCE SPECIALTY SURGERY

  • PO BOX 2975

    MCALLEN, TX 785022975

    Phone: (956) 362-2171

    Fax: (956) 362-3614

    Type: Mailing

  • 5501 S MCCOLL RD

    EDINBURG, TX 785395503

    Phone: (956) 362-2171

    Fax: (956) 362-3614

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
O20140515000672OClinic/Group PracticeTXTBD

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

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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 78502)

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Reviews

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Frequently asked questions

What is RENAISSANCE SPECIALTY SURGERY's NPI number?
RENAISSANCE SPECIALTY SURGERY's NPI is 1174952907 — the number used across U.S. healthcare to identify this provider.
Would RENAISSANCE SPECIALTY SURGERY appear as active to a payer?
You can treat RENAISSANCE SPECIALTY SURGERY as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with RENAISSANCE SPECIALTY SURGERY?
RENAISSANCE SPECIALTY SURGERY's record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is RENAISSANCE SPECIALTY SURGERY registered?
Use Mcallen, Texas as the headline location for RENAISSANCE SPECIALTY SURGERY here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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