Individual provider Active NPI

Ajay Gaalla, MD

  • Cardiovascular Disease Physician
  • Victoria, TX
National Provider Identifier
1104837772
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
J4134 Issued in TX
Practice address
2104 Patterson Dr
Victoria, TX 77901-5639
Phone
(361) 580-2200
Fax
(361) 580-2201
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X J4134 TX Primary

Addresses

Primary practice location

2104 Patterson Dr
Victoria, TX 77901-5639

Mailing address

2104 Patterson Dr
Victoria, TX 77901-5639
Phone (361) 580-2200

Other identifiers 2

IdentifierTypeStateIssuer
113733305MedicaidTX
8DD946OtherTXBCBS

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
I20070327000230 TX Practitioner - Cardiovascular Disease (Cardiology) 7618937137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Medical School at Houston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria Heart and Vascular Center, P.a. 3 clinicians

Practice addresses (Care Compare)

2104 Patterson Dr
Victoria, TX 77901-5639
Phone (361) 580-2200

Hospital & facility affiliations

  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • Memorial Medical Center Hospital, Port Lavaca, TX, CCN 451356

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4134TXMDCardiovascular Disease Physician
H4134TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Heart and Vascular Center, P.a. Cardiovascular Disease CurrentSince Feb 5, 2012 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Victoria Cardiovascular Imaging LP Past Accepting new patients

Locations

2104 Patterson Dr
Victoria, TX 77901
Phone (361) 580-2200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJJHBA
  • Direct secure messaging: ajay.gaalla@vhvc.eclinicaldirectplus.com

Organizations & group practices 3

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 3

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1104837772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 PATTERSON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015639",
            "telephone_number": "361-580-2200",
            "fax_number": "361-580-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 PATTERSON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015639",
            "telephone_number": "361-580-2200",
            "fax_number": "361-580-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAALLA",
        "first_name": "AJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J4134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113733305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DD946",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.