Organization Active NPI

Valley Internal Medicine Geriatric & Diabetic Center, P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • McAllen, TX
National Provider Identifier
1245404680
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
VALLEY INTERNAL MEDICINE GERIATRIC & DIABETIC CENTER, P.A.
Practice address
1200 E Ridge Rd Ste 7
McAllen, TX 78503-1528
Phone
(956) 631-3982
Fax
(956) 631-0254
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Dr. Mangala M Ramamurthy, M.D.
Title
Owner
Phone
(956) 631-3982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

1200 E Ridge Rd Ste 7
McAllen, TX 78503-1528

Mailing address

PO Box 627
Weslaco, TX 78599-0627
Phone (956) 631-3982

Other identifiers 1

IdentifierTypeStateIssuer
079604701MedicaidTX

National Provider Directory

National Provider Directory

Locations

1400 S 6th St
McAllen, TX 78501
Phone (956) 631-3982

1600 E Highway 83
Ste D
Weslaco, TX 78596
Phone (956) 969-4016

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1245404680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785990627",
            "telephone_number": "956-631-3982",
            "fax_number": "956-631-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGE RD STE 7",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031528",
            "telephone_number": "956-631-3982",
            "fax_number": "956-631-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INTERNAL MEDICINE GERIATRIC & DIABETIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "RAMAMURTHY",
        "authorized_official_first_name": "MANGALA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-631-3982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079604701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.