Individual provider Active NPI

Christopher Ryan Vela, PAC

  • Physician Assistant
  • Midland, TX
National Provider Identifier
1366728909
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07511 Issued in TX
Practice address
5000 Briarwood Ave
Midland, TX 79707-2753
Phone
(432) 682-5385
Fax
(432) 682-1265
NPI assigned
Oct 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA07511 TX Primary

Addresses

Primary practice location

5000 Briarwood Ave
Midland, TX 79707-2753

Mailing address

400 Rosalind Redfern Grover Pkwy Ste 240
Midland, TX 79701-5856
Phone (432) 683-2723

Other practice location 1

400 Rosalind Redfern Grover Pkwy Ste 240
Midland, TX 79701-5856
Phone (432) 683-2723

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
I20140110000969 TX Practitioner - Physician Assistant 4284862616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permian Cardiology, Inc. 8 clinicians

Practice addresses (Care Compare)

400 Rosalind Redfern Grover Pkwy
Suite 240
Midland, TX 79701-5856
Phone (432) 688-0102

Hospital & facility affiliations

  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Cardiology Associates Current Accepting new patients
NSMD Medical PLLC PastSince Feb 8, 2017 Accepting new patients
Courtyard Primary Care & Medical Spa,PA Past Accepting new patients

Locations

400 N Garfield
#240
Midland, TX 79701
Phone (432) 683-2723

400 N Garfield
Ste 240
Midland, TX 79701
Phone (432) 683-2723

400 Rosalind Redfern Grover Pkwy
Ste 240
Midland, TX 79701
Phone (432) 221-3600

Interoperability endpoints

  • Direct secure messaging: christopher.vela.1@3522.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1366728909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015856",
            "telephone_number": "432-683-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRIARWOOD AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072753",
            "telephone_number": "432-682-5385",
            "fax_number": "432-682-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Rosalind Redfern Grover Pkwy Ste 240",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797015856",
            "country_code": "US",
            "telephone_number": "432-683-2723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELA",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-27",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.