Individual provider Active NPI

Gustavo Alonzo Vela Jr., DMSC, MA, MPAS, PA-C

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1013109370
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05400 Issued in TX
Practice address
2717 Michaelangelo Dr Ste 200
Edinburg, TX 78539-1412
Phone
(956) 362-2250
Fax
(956) 362-2251
NPI assigned
Aug 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05400 TX Primary

Addresses

Primary practice location

2717 Michaelangelo Dr Ste 200
Edinburg, TX 78539-1412

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071130000596 TX Practitioner - Physician Assistant 8224127006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians
Renaissance Cardiology GroupGroup PAC ID 9830323138, 31 clinicians

Practice addresses (Care Compare)

2717 W Michaelangelo Dr
Suite 200
Edinburg, TX 78539-1412
Phone (956) 362-2250

5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 362-2171

5525 Doctors Dr
Edinburg, TX 78539-5520
Phone (956) 362-8740

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score
98.1 of 100Reported as group
Quality
86
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Cardiology Group Physician Assistant CurrentSince Oct 27, 2025 Accepting new patients
G Athansi Orfanos MD PA PastSince Mar 1, 2021 Accepting new patients

Locations

5525 Doctors Dr
Edinburg, TX 78539
Phone (956) 362-8740

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

1000 E Expressway 83
Ste 5B
La Joya, TX 78560
Phone (956) 362-5870

1817 S D St
McAllen, TX 78503
Phone (956) 362-3796

1801 S 5th St
Ste 13
McAllen, TX 78503
Phone (956) 362-3300

2121 E Griffin Pkwy
Ste 13
Mission, TX 78572
Phone (956) 362-8740

2795 Pharmacy Rd
Rio Grande Cy, TX 78582
Phone (956) 317-1485

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1013109370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-2250",
            "fax_number": "956-362-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 MICHAELANGELO DR STE 200",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391412",
            "telephone_number": "956-362-2250",
            "fax_number": "956-362-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA",
        "first_name": "GUSTAVO",
        "middle_name": "ALONZO",
        "name_suffix": "Jr.",
        "credential": "DMSC, MA, MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.