Individual provider Active NPI

Ronald Caporale

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1316294408
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07942 Issued in TX
Practice address
6809 Slide Rd Ste J
Lubbock, TX 79424-1517
Phone
(806) 794-9378
Fax
(806) 799-0691
NPI assigned
Aug 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07942 TX Primary

Addresses

Primary practice location

6809 Slide Rd Ste J
Lubbock, TX 79424-1517

Mailing address

5219 City Bank Pkwy
Suite 35
Lubbock, TX 79407-3544
Phone (806) 761-0333

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120904000752 TX Practitioner - Physician Assistant 7517114184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allervie Health Texas PAGroup PAC ID 4789659392, 9 clinicians

Practice addresses (Care Compare)

10607 Quaker Ave
Unit 102
Lubbock, TX 79424-8465
Phone (806) 318-0441

3502 22ND St
Lubbock, TX 79410-1308
Phone (806) 318-0441

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Allergy, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: caporale.ronald.019.0090427@avh.meditab.direct-ci.com
  • Direct secure messaging: ron.caporale@direct.myteamcare.com

Organizations & group practices 2

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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1316294408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY",
            "address_2": "SUITE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073544",
            "telephone_number": "806-761-0333",
            "fax_number": "806-785-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 SLIDE RD STE J",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241517",
            "telephone_number": "806-794-9378",
            "fax_number": "806-799-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPORALE",
        "first_name": "RONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-08",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.