Oscar Luis Corral, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · McAllen, TX
NPI 1609869486 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1609869486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 1761 (TX)
- Practice address
- 812 Lindberg Ave
Complete Family Foot Care
McAllen, TX 78501 - Phone
- (956) 971-9107
- Fax
- (956) 971-9109
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Owned or controlled facilities with NPI records 7
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Joseph M Caporusso DPM PA
Practice addresses (Care Compare)
812 Lindberg Ave
McAllen, TX 78501-2930
Phone (956) 971-9107
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 44 |
| Removal of nail tissue | 312 |
| Removal or shaving of skin growth | 53 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Nuestra Clinica del Valle, Inc. |
Federally qualified health center | Corporate Officer | Feb 1, 2021 |
| Nuestra Clinica del Valle, Inc. |
Federally qualified health center | Corporate Officer | Feb 1, 2021 |
| Nuestra Clinica del Valle, Inc. |
Federally qualified health center | Corporate Officer | Feb 1, 2021 |
| Nuestra Clinica del Valle, Inc. |
Federally qualified health center | Corporate Officer | Feb 1, 2021 |
| Nuestra Clinica del Valle, Inc. |
Federally qualified health center | Corporate Officer | Feb 1, 2021 |
| Nuestra Clinica del Valle, Inc. |
Federally qualified health center | Corporate Officer | Feb 1, 2021 |
| Nuestra Clinica del Valle, Inc. |
Federally qualified health center | Corporate Officer | Feb 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051116000688 | TX | Practitioner - Podiatry | 8820017064 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Su Clinica Familiar | Current |
Accepting new patients |
Locations
1706 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 365-6000
131 FM 3168
Raymondville, TX 78580
Phone (956) 689-2196
Interoperability endpoints
- ocorral@cffc.ssdirect.aprima.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1761 | TX | Yes |
Addresses
Primary practice location
812 Lindberg Ave
Complete Family Foot Care
McAllen, TX 78501
Mailing address
812 Lindberg Ave
McAllen, TX 78501
Phone (956) 971-9107
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183306301 | Medicaid | TX | |
| 4661430001 | Other | TX | PALMETTO DME FACILITY GROUP |
| 1609869486 | Other | TX | NPI INDIVIDUAL |
NPI Registry JSON
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1609869486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 LINDBERG AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "78501",
"telephone_number": "956-971-9107",
"fax_number": "956-971-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 LINDBERG AVE",
"address_2": "COMPLETE FAMILY FOOT CARE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "78501",
"telephone_number": "956-971-9107",
"fax_number": "956-971-9109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRAL",
"first_name": "OSCAR",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183306301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO DME FACILITY GROUP",
"identifier": "4661430001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1609869486",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
- Cesar Coronado
- Monica Coronado
- Robin Nevaeh Coronado
- Roman Coronado Jr.
- Marian P Coronel
- Fernanda Cortes Ramirez
- Oscar Cortes
- Cortez Alliance LLC
- Patricia Cortez-Animas
- Elizabeth Cortez
All providers in McAllen, TX · Foot & Ankle Surgery Podiatrist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.