Individual provider Active NPI

David Dela Llata, M.D.

  • Family Medicine Physician
  • Brownsville, TX
National Provider Identifier
1437384674
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P1859 Issued in TX
Practice address
800 W Jefferson St Ste 200
Brownsville, TX 78520-6300
Phone
(956) 574-0431
Fax
(956) 541-1011
NPI assigned
May 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 P1859 TX Primary

Addresses

Primary practice location

800 W Jefferson St Ste 200
Brownsville, TX 78520-6300

Mailing address

800 W Jefferson St Ste 200
Brownsville, TX 78520-6300
Phone (956) 574-0431

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
I20120911000640 TX Practitioner - Family Practice 5799933099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

1001 James St
Weslaco, TX 78596-0008
Phone (956) 647-8600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Su Clinica Familiar CurrentSince Jul 29, 2012 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Mar 25, 2019 Accepting new patients
Wellmed Medical Group, PA Family Medicine CurrentSince Nov 5, 2023 Accepting new patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Mar 25, 2019 Accepting new patients

Locations

800 W Jefferson St
Ste 200
Brownsville, TX 78520
Phone (956) 574-0431

105 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 831-8338

1706 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 365-6000

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

1001 James St
Weslaco, TX 78596
Phone (956) 647-8600

Interoperability endpoints

  • Direct secure messaging: david.delalata@wellmed.eclinicaldirectplus.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": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1437384674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST STE 200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206300",
            "telephone_number": "956-574-0431",
            "fax_number": "956-541-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST STE 200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206300",
            "telephone_number": "956-574-0431",
            "fax_number": "956-541-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA LLATA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.