Individual provider Active NPI

Miguel Angel Ayala, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1174510507
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K4628 Issued in TX
Practice address
600 Division Ave Ste E
San Antonio, TX 78214-1336
Phone
(210) 222-0333
Fax
(762) 268-7701
NPI assigned
Sep 30, 2005
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K4628 TX Primary

Addresses

Primary practice location

600 Division Ave Ste E
San Antonio, TX 78214-1336

Mailing address

600 Division Ave Ste E
San Antonio, TX 78214-1336
Phone (210) 222-0333

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
I20100125000682 TX Practitioner - Internal Medicine 9234271511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

600 Division Ave E
Wellmed at Division
San Antonio, TX 78214-1336
Phone (210) 222-0333

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Jul 31, 2020 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Jul 31, 2020 Accepting new patients
Garza Medical Group @ South Alamo PastSince Nov 30, 2020 Accepting new patients

Locations

4203 E Southcross Blvd
San Antonio, TX 78222

600 Division Ave
Ste E
San Antonio, TX 78214
Phone (210) 924-4279

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: admin@samedgrp.e-mdsdirect.com
  • FHIR API: https://api.platform.athenahealth.com/18288/brand/1/csg/1/fhir/r4
  • Direct secure messaging: miguel.ayala@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1174510507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DIVISION AVE STE E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141336",
            "telephone_number": "210-222-0333",
            "fax_number": "762-268-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DIVISION AVE STE E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141336",
            "telephone_number": "210-222-0333",
            "fax_number": "762-268-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.