Arnulfo Ayalde Royeca, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05004272A Issued in IN

Practice address

53940 Carmichael Dr
South Bend, IN 46635-1564

Phone

(574) 335-6212

Fax

(574) 335-0701

NPI assigned

Mar 26, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/5ac0007d-0893-4627-b11f-857c06d27ab1/
• FHIR API: https://fhir-myrecord.cerner.com/r4/781d290a-0fb7-4574-b825-dd38fe495caa/

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.

• Saint Joseph Regional Medical Center-South Bend Campus, Inc

  • Mobile Mammography Clinic/Center
  • South Bend, IN
  • NPI 1023844693

  IN

  Medicare reassignment NPD
• Saint Joseph Regional Medical Center-South Bend Campus, Inc.

  • Family Medicine Physician
  • Mishawaka, IN
  • NPI 1144580150
  NPD
• Saint Joseph Regional Medical Center-South Bend Campus, Inc.

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1841245594
  NPD

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1104140631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CEDAR ST STE 200",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172057",
            "telephone_number": "574-335-8707",
            "fax_number": "574-335-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53940 CARMICHAEL DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351564",
            "telephone_number": "574-335-6212",
            "fax_number": "574-335-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1531 Spokane Ln",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466351946",
            "country_code": "US",
            "telephone_number": "574-289-7206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROYECA",
        "first_name": "ARNULFO",
        "middle_name": "AYALDE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-26",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004272A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300043242",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000001432340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ted M. Roth, MD
• Michael John Rotheker, O.D.
• Michael C Rotkis, MD
• April Rowe, MSW, LCSW
• Kara K. Rowe, R.D.
• Regina Rozenblit
• William Bernard Rozzi, M.D.
• Frederick Lloyd Ruckersfeldt, MD
• Lori Rudge
• Hannah M Ruhe

• All providers in South Bend, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.