NPIMap

Organization Active NPI

J. Mark Morales, M.D., PA

  • Specialist
  • Corpus Christi, TX
National Provider Identifier
1225168784
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J5418 Issued in TX
Legal business name
J. MARK MORALES, M.D., PA
Practice address
1224 3Rd St Ste 1
Corpus Christi, TX 78404-2354
Phone
(361) 854-0201
Fax
(361) 855-7572
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Martha A Garcia
Title
Practice Manager
Phone
(361) 854-0201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X J5418 TX Primary

Addresses

Primary practice location

1224 3Rd St Ste 1
Corpus Christi, TX 78404-2354

Mailing address

PO Box 30104
Corpus Christi, TX 78463-0104
Phone (361) 854-0201

Other identifiers 1

IdentifierTypeStateIssuer
141578801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA, NV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20120427000519 TX Part B Supplier - Clinic/Group Practice 8628230182 Receives reassigned benefits from 14 practitioners
Practice locations: Corpus Christi, TX
O20210611001861 LA Part B Supplier - Clinic/Group Practice 8628230182 Receives reassigned benefits from 5 practitioners
Practice locations: Lake Charles, LA
O20220331001163 NV Part B Supplier - Clinic/Group Practice 8628230182 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

1301 S Coulter St
Ste 204
Amarillo, TX 79106
Phone (806) 340-0550

100 Plaza Santa Rosa
Ste 110
Brownsville, TX 78520

1224 3rd St
Ste 1
Corpus Christi, TX 78404
Phone (361) 854-0201

1224 3rd St
Corpus Christi, TX 78404
Phone (367) 883-3973

516 Victoria LN Ste 16
Harlingen, TX 78550

110 E Savannah Ave
Bldg A101
McAllen, TX 78503
Phone (956) 627-1538

110 E Savannah Ave
Bldg Aste
McAllen, TX 78503

413 Lindberg Ave
McAllen, TX 78501
Phone (956) 668-7770

2544 Central Palm Dr
Ste 10
Rio Grande City, TX 78582

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGIFBA

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1225168784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30104",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784630104",
            "telephone_number": "361-854-0201",
            "fax_number": "361-855-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 3RD ST STE 1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042354",
            "telephone_number": "361-854-0201",
            "fax_number": "361-855-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MARK MORALES, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "361-854-0201"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J5418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141578801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.