Individual provider Active NPI

Beverly A Zavaleta, M.D.

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1225032113
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L5643 Issued in TX
Practice address
512 Victoria LN Ste 12
Harlingen, TX 78550-3228
Phone
(956) 440-6300
Fax
(888) 698-3908
NPI assigned
Jun 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L5643 TX Primary

Addresses

Primary practice location

512 Victoria LN Ste 12
Harlingen, TX 78550-3228

Mailing address

512 Victoria LN Ste 12
Harlingen, TX 78550-3228
Phone (956) 440-6300

Other identifiers 2

IdentifierTypeStateIssuer
1613481-01MedicaidTX
161350706MedicaidTX

Other names 1

  • Beverly E Aist-Mejia Former name

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
I20090326000680 TX Practitioner - Family Practice 7618034158 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Harvard Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Femi Layiwola MD PAGroup PAC ID 9436471836, 8 clinicians
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-1100

6130 Pkwy Dr
Corpus Christi, TX 78414-2455
Phone (361) 993-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5643TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Femi Layiwola, MD, PA CurrentSince Oct 15, 2017 Accepting new patients
Hni Medical Services Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jun 30, 2023 Accepting new patients
Concord Medical Group PLLC CurrentSince Jun 30, 2023 Accepting new patients
Beverly a Zavaleta, MD PA Family Medicine Past Accepting new patients
Amy J. Gutierrez, MD,PA Family Medicine Past Accepting new patients
Harlingen Physician Network Inc Family Medicine Past Accepting new patients

Locations

75 Remittance Dr
Dept 1653
Chicago, IL 60675

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

Organizations & group practices 7

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 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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1225032113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LN STE 12",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503228",
            "telephone_number": "956-440-6300",
            "fax_number": "888-698-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LN STE 12",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503228",
            "telephone_number": "956-440-6300",
            "fax_number": "888-698-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALETA",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1613481-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161350706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "AIST-MEJIA",
            "middle_name": "E",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.