Individual provider Active NPI

Jorge Alfonso Nadal, MD

  • Internal Medicine Physician
  • McAllen, TX
National Provider Identifier
1275154643
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
V0482 Issued in TX
Practice address
1000 E Dove Ave Ste 201
McAllen, TX 78504-4899
Phone
(956) 362-3505
Fax
(956) 362-3506
NPI assigned
Apr 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X V0482 TX Primary

Addresses

Primary practice location

1000 E Dove Ave Ste 201
McAllen, TX 78504-4899

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-3505

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
I20240718001317 TX Practitioner - Internal Medicine 2466998190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

1000 E Dove Ave
Suite 201
McAllen, TX 78504-3974
Phone (956) 362-3505

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V0482TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

5423 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3575

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

1000 E Dove Ave
Ste 201
McAllen, TX 78504
Phone (956) 362-3505

Interoperability endpoints

  • Direct secure messaging: jorge.nadal.1@18763.direct.athenahealth.com

Organizations & group practices 1

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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1275154643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-3505",
            "fax_number": "956-362-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DOVE AVE STE 201",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044899",
            "telephone_number": "956-362-3505",
            "fax_number": "956-362-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADAL",
        "first_name": "JORGE",
        "middle_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V0482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.