Individual provider Active NPI

Luis Alberto Alcala, DO

  • Family Medicine Physician
  • Floresville, TX
National Provider Identifier
1366930653
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S9446 Issued in TX
Practice address
497 10TH St Ste 101
Floresville, TX 78114-3178
Phone
(830) 393-1400
NPI assigned
Apr 23, 2018
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S9446 TX Primary

Addresses

Primary practice location

497 10TH St Ste 101
Floresville, TX 78114-3178

Mailing address

497 10TH St Ste 101
Floresville, TX 78114-3178
Phone (830) 393-1400

Other practice location 1

425 University Blvd Ste 300
Round Rock, TX 78665-1058
Phone (512) 244-5729 ext. 27572

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722000333 TX Practitioner - Family Practice 4183971252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2008 Nine Rd
Brady, TX 76825-7210
Phone (325) 597-2901

2010 Nine Rd
Brady, TX 76825-7210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9446TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson County Memorial Hospital District CurrentSince Jul 6, 2021 Accepting new patients
Heart of Texas Healthcare System Current Accepting new patients
Wilson County Memorial Hospital District Family Medicine CurrentSince Jul 6, 2021 Accepting new patients

Locations

2008 Nine Rd
Brady, TX 76825
Phone (325) 597-2901

497 10th St
Ste 101
Floresville, TX 78114
Phone (830) 393-1630

499 10th St
Floresville, TX 78114
Phone (830) 216-7096

Interoperability endpoints

  • Direct secure messaging: lalcala72897@shannonhealth.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1366930653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 10TH ST STE 101",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143178",
            "telephone_number": "830-393-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 10TH ST STE 101",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143178",
            "telephone_number": "830-393-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 University Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651058",
            "country_code": "US",
            "telephone_number": "512-244-5729 x27572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALCALA",
        "first_name": "LUIS",
        "middle_name": "ALBERTO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S9446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floresville, TX

Sources for this page

Verify at the official NPI Registry.