Individual provider Active NPI

Sandy Magallan, AUD

  • Audiologist
  • Edinburg, TX
National Provider Identifier
1366928236
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81081 Issued in TX
Practice address
1100 E Dove Ave
Ste 402
Edinburg, TX 78539
Phone
(956) 362-8125
Fax
(956) 362-8135
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 81081 TX
Audiologist 231H00000X 81081 TX Primary

Addresses

Primary practice location

1100 E Dove Ave
Ste 402
Edinburg, TX 78539

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-8125

Other identifiers 3

IdentifierTypeStateIssuer
395356402MedicaidTX
H08LZ45801OtherTXBCBS
3953564-04MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190110000030 TX Practitioner - Qualified Audiologist 6709122864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Texas Tech University Health Science Center School of Medicine, 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)

1100 E Dove Ave
Suite 402
McAllen, TX 78504-4684
Phone (956) 362-8125

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
72.49
Promoting interoperability
94
Improvement activities
40
Cost
68.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81081TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation Audiologist CurrentSince Sep 1, 2024 Accepting new patients
The University of Texas Rio Grande Valley Current Accepting new patients
Valley Ear Nose & Throat Specialist PA Audiologist CurrentSince Nov 2, 2018 Accepting new patients
Clinical Associates, Inc PastSince Nov 2, 2018 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

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

3804 S Jackson Rd
Ste 1
Edinburg, TX 78539
Phone (956) 296-3001

615 Camelot Dr
Harlingen, TX 78550
Phone (956) 296-2701

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

510 Victoria Ln
Ste 5
Harlingen, TX 78550
Phone (956) 428-4221

1100 E Dove Ave
Ste 402
McAllen, TX 78504
Phone (956) 362-2490

2101 S Cynthia St
McAllen, TX 78503
Phone (956) 687-7896

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

Organizations & group practices 5

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1366928236",
    "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": "956-362-8125",
            "fax_number": "956-362-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E DOVE AVE",
            "address_2": "STE 402",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-362-8125",
            "fax_number": "956-362-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGALLAN",
        "first_name": "SANDY",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "81081",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "395356402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08LZ45801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3953564-04",
            "state": "TX"
        }
    ],
    "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 Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.