Individual provider Active NPI

Felipe Miguel Avila, M.D.

  • Pediatrics Physician
  • Weslaco, TX
National Provider Identifier
1194764225
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L1521 Issued in TX
Practice address
1408 E 8TH St
Weslaco, TX 78596-6639
Phone
(956) 968-0103
Fax
(956) 968-0481
NPI assigned
Jun 5, 2006
Last updated
May 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L1521 TX Primary

Addresses

Primary practice location

1408 E 8TH St
Weslaco, TX 78596-6639

Mailing address

1408 E 8TH St
Weslaco, TX 78596-6639
Phone (956) 968-0103

Other identifiers 1

IdentifierTypeStateIssuer
092547103MedicaidTX

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
I20160122001256 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1557266780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1521TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acme Pediatric Providers PLLC Pediatrics Current Accepting new patients

Locations

2318 E Harrison Ave
Harlingen, TX 78550
Phone (956) 230-8965

1408 E 8th St
Weslaco, TX 78596
Phone (956) 968-0103

Organizations & group practices 5

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1194764225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E 8TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966639",
            "telephone_number": "956-968-0103",
            "fax_number": "956-968-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 E 8TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966639",
            "telephone_number": "956-968-0103",
            "fax_number": "956-968-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "FELIPE",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L1521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092547103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.