Organization Active NPI

Michael Decandia M.D.,P.a.

  • Diagnostic Radiology Physician
  • Edinburg, TX
National Provider Identifier
1366630972
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K3152 Issued in TX
Legal business name
MICHAEL DECANDIA M.D.,P.A.
Practice address
5325 S McColl Rd Ste a
Edinburg, TX 78539-9168
Phone
(956) 686-4422
NPI assigned
Oct 9, 2007
Last updated
Oct 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Michael Decandia, M.D.NPI 1992814842
Title
Owner
Phone
(956) 581-0303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X K3152 TX Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X K3152 TX

Addresses

Primary practice location

5325 S McColl Rd Ste a
Edinburg, TX 78539-9168

Mailing address

5325 S McColl Rd Ste a
Edinburg, TX 78539-9168
Phone (956) 686-4422

National Provider Directory

National Provider Directory

Locations

5325 S McColl Rd
Ste A
Edinburg, TX 78539
Phone (956) 686-4422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1366630972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 S MCCOLL RD STE A",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399168",
            "telephone_number": "956-686-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 S MCCOLL RD STE A",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785399168",
            "telephone_number": "956-686-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DECANDIA M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "DECANDIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-581-0303",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K3152",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "K3152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.