Organization Active NPI

Ayala ENT & Facial Plastic Surgery PLLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Edinburg, TX
National Provider Identifier
1033545512
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
P4845 Issued in TX
Legal business name
AYALA ENT & FACIAL PLASTIC SURGERY PLLC
Practice address
2821 Michael Angelo Ste 201
Edinburg, TX 78539-1406
Phone
(956) 631-4515
Fax
(956) 661-8205
NPI assigned
Sep 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Mr. Carlos Ayala, M.D.NPI 1881688174
Title
Owner
Phone
(956) 631-4515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0007X P4845 TX Primary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X P4845 TX

Addresses

Primary practice location

2821 Michael Angelo Ste 201
Edinburg, TX 78539-1406

Mailing address

2821 Michael Angelo Ste 201
Edinburg, TX 78539-1406
Phone (956) 631-4515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140506001237 TX Part B Supplier - Clinic/Group Practice 6305079989 Receives reassigned benefits from 1 practitioner
Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Locations

800 E Dove Ave
Ste Fg
McAllen, TX 78504
Phone (956) 627-6305

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1033545512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 MICHAEL ANGELO STE 201",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391406",
            "telephone_number": "956-631-4515",
            "fax_number": "956-661-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MICHAEL ANGELO STE 201",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391406",
            "telephone_number": "956-631-4515",
            "fax_number": "956-661-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYALA ENT & FACIAL PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-631-4515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "P4845",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "P4845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.