Individual provider Active NPI

Carlos Alberto Galvan, MD

  • Ophthalmology Physician
  • Brownsville, TX
National Provider Identifier
1073717633
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
N6304 Issued in TX
Practice address
1058 E Los Ebanos Blvd
Brownsville, TX 78520-9988
Phone
(956) 541-4828
Fax
(956) 541-4568
NPI assigned
Jun 14, 2007
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X N6304 TX Primary

Addresses

Primary practice location

1058 E Los Ebanos Blvd
Brownsville, TX 78520-9988

Mailing address

1058 E Los Ebanos Blvd
Brownsville, TX 78520-9988
Phone (956) 541-4828

Other identifiers 1

IdentifierTypeStateIssuer
1295014389OtherTXGROUP PRACTICE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110829000310 TX Practitioner - Ophthalmology 7810167913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Stanford University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thao T Thach IncGroup PAC ID 0042247181, 2 clinicians

Practice addresses (Care Compare)

329 N Shiloh Rd
Suite a
Garland, TX 75042-6610
Phone (214) 703-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N6304TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander P. Sudarshan MD PA Ophthalmology CurrentSince Dec 1, 2018 Accepting new patients
Alexander P Sudarshan MD PA Ophthalmology CurrentSince Dec 1, 2018 Accepting new patients
Lewis Jacob Frazee MD PA Ophthalmology Past Accepting new patients
Heartcare Specialist PLLC Past Accepting new patients
West Plano Optical Company Past Accepting new patients

Locations

1058 E Los Ebanos Blvd
Brownsville, TX 78520
Phone (956) 541-4828

1315 E 6th St
Ste 5
Weslaco, TX 78596
Phone (956) 969-3893

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1073717633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 E LOS EBANOS BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209988",
            "telephone_number": "956-541-4828",
            "fax_number": "956-541-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 E LOS EBANOS BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209988",
            "telephone_number": "956-541-4828",
            "fax_number": "956-541-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N6304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PRACTICE",
            "identifier": "1295014389",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.