Individual provider Active NPI

Luz Olaya Pettle, M.D.

  • Obstetrics & Gynecology Physician
  • McAllen, TX
National Provider Identifier
1356640916
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R6076 Issued in TX
Practice address
1800 S 5TH St
McAllen, TX 78503-2909
Phone
(956) 992-0730
Fax
(956) 992-8862
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R6076 TX Primary

Addresses

Primary practice location

1800 S 5TH St
McAllen, TX 78503-2909

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (956) 992-0730

Other identifiers 1

IdentifierTypeStateIssuer
387007301MedicaidTX

Other names 1

  • Luz Olaya Avilez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180320000605 TX Practitioner - Obstetrics/Gynecology 6204157233 Reassigns benefits to 1 organization
I20201001001752 FL Practitioner - Obstetrics/Gynecology 6204157233 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Rio Grande Valley Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 29, 2020 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Apr 9, 2021 Accepting new patients
McAllen Hospitalist Group, PLLC Obstetrics & Gynecology CurrentSince Jun 9, 2018 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 29, 2020 Accepting new patients
General Physician, PC Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
All Care for Women, LLP Obstetrics & Gynecology PastSince Aug 5, 2020 Accepting new patients
McAllen Oncology PA PastSince Jun 9, 2018 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

1800 S 5th St
McAllen, TX 78503
Phone (956) 928-0008

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1356640916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "956-992-0730",
            "fax_number": "956-992-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S 5TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785032909",
            "telephone_number": "956-992-0730",
            "fax_number": "956-992-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTLE",
        "first_name": "LUZ",
        "middle_name": "OLAYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R6076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387007301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUZ",
            "last_name": "AVILEZ",
            "middle_name": "OLAYA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.