NPIMap

Individual provider Active NPI

Allan Joshua Avellanet, PA-C

  • Physician Assistant
  • Allen, TX
National Provider Identifier
1205599826
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15145 Issued in TX
Practice address
1120 Raintree Cir Ste 110
Allen, TX 75013-5257
Phone
(817) 442-9300
Fax
(817) 416-0108
NPI assigned
Oct 20, 2021
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15145 TX Primary
Medical Physician Assistant 363AM0700X PA15145 TX
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X

Addresses

Primary practice location

1120 Raintree Cir Ste 110
Allen, TX 75013-5257

Mailing address

1425 W Peters Colony Rd
Carrollton, TX 75007-2774
Phone (972) 672-8224

Other practice location 1

11350 US Highway 380 Ste 100
Crossroads, TX 76227-8319
Phone (940) 228-0663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220217002860 TX Practitioner - Physician Assistant 1951795855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.53 of 100Reported as group
Quality
97.82
Promoting interoperability
100
Improvement activities
40
Cost
75.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15145TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Back Care Surgical PastSince Sep 1, 2026 Accepting new patients
Texas Health Back Care Surgical PastSince Sep 1, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: allan.avellanet@hca7.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1205599826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W PETERS COLONY RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072774",
            "telephone_number": "972-672-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 RAINTREE CIR STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135257",
            "telephone_number": "817-442-9300",
            "fax_number": "817-416-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11350 US Highway 380 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Crossroads",
            "state": "TX",
            "postal_code": "762278319",
            "country_code": "US",
            "telephone_number": "940-228-0663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVELLANET",
        "first_name": "ALLAN",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15145",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA15145",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.