Organization Active NPI

West Valley Radiology

  • Diagnostic Radiology Physician
  • Weslaco, TX
National Provider Identifier
1467562728
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WEST VALLEY RADIOLOGY
Practice address
1401 E 8TH St
Weslaco, TX 78596-6640
Phone
(956) 581-0303
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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 connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1401 E 8TH St
Weslaco, TX 78596-6640

Mailing address

2121 E Griffin Pkwy
#12
Mission, TX 78572-3241
Phone (956) 581-0303

Other identifiers 2

IdentifierTypeStateIssuer
DC0004OtherTXMEDICARE RAILROAD GRP
P00141786OtherTXMEDICARE RAILROAD INDV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000963 TX Part B Supplier - Clinic/Group Practice 6204821960 Receives reassigned benefits from 3 practitioners
Practice locations: Weslaco, TX

National Provider Directory

National Provider Directory

Locations

5325 S McColl Rd
Edinburg, TX 78539
Phone (956) 331-2244

1826 E Griffin Pkwy
Ste E
Mission, TX 78572

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1467562728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY",
            "address_2": "#12",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723241",
            "telephone_number": "956-581-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 8TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966640",
            "telephone_number": "956-581-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-11-02",
        "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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GRP",
            "identifier": "DC0004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD INDV",
            "identifier": "P00141786",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.