Organization Active NPI

Valley Medical Arts Clinic PA

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1013930080
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VALLEY MEDICAL ARTS CLINIC PA
Practice address
5201 N 10TH St
McAllen, TX 78504-2708
Phone
(956) 631-5411
Fax
(956) 631-7129
NPI assigned
Jul 25, 2006
Last updated
Oct 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Jaime Rueda, MD CEO
Title
MD Ceo
Phone
(956) 631-5411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5201 N 10TH St
McAllen, TX 78504-2708

Mailing address

5201 N 10TH
McAllen, TX 78504
Phone (956) 631-5411

Other identifiers 1

IdentifierTypeStateIssuer
094043903MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040709000678 TX Part B Supplier - Clinic/Group Practice 7315925039 Receives reassigned benefits from 7 practitioners
Practice locations: McAllen, TX
O20041230000046 TX Part B Supplier - Clinic/Group Practice 2062470529 Receives reassigned benefits from 93 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corpus Christi, TX; Weslaco, TX; San Benito, TX; Mission, TX; McAllen, TX; Laredo, TX; Harlingen, TX; Falfurrias, TX…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0503256Valley Medical Arts Clinic PA5201 North 10TH Street, McAllen, TX 78504AccreditationNov 19, 2027

National Provider Directory

National Provider Directory

Locations

2000 N McColl Rd
McAllen, TX 78501
Phone (956) 682-6101

209 W Hackberry Ave
McAllen, TX 78501
Phone (956) 686-2243

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

1013 S Bryan Rd
Mission, TX 78572
Phone (856) 580-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12992/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1013930080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 N 10TH",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78504",
            "telephone_number": "956-631-5411",
            "fax_number": "956-631-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 N 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042708",
            "telephone_number": "956-631-5411",
            "fax_number": "956-631-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL ARTS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "RUEDA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "MD CEO",
        "authorized_official_telephone_number": "956-631-5411",
        "authorized_official_credential": "MD CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094043903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.