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

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.

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 (7 clinicians)

Practice addresses (Care Compare)

812 Lindberg Ave
McAllen, TX 78501-2930
Phone (956) 971-9107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue44
Removal of nail tissue312
Removal or shaving of skin growth53

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

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nuestra Clinica del Valle, Inc.
Donna, TX · CCN 451949
Federally qualified health center Corporate Officer Feb 1, 2021
Nuestra Clinica del Valle, Inc.
Edcouch, TX · CCN 451807
Federally qualified health center Corporate Officer Feb 1, 2021
Nuestra Clinica del Valle, Inc.
Mercedes, TX · CCN 451809
Federally qualified health center Corporate Officer Feb 1, 2021
Nuestra Clinica del Valle, Inc.
Rio Grande, TX · CCN 671919
Federally qualified health center Corporate Officer Feb 1, 2021
Nuestra Clinica del Valle, Inc.
Roma, TX · CCN 671920
Federally qualified health center Corporate Officer Feb 1, 2021
Nuestra Clinica del Valle, Inc.
San Juan, TX · CCN 451808
Federally qualified health center Corporate Officer Feb 1, 2021
Nuestra Clinica del Valle, Inc.
San Juan, TX · CCN 741854
Federally qualified health center Corporate Officer Feb 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20051116000688 TX Practitioner - Podiatry 8820017064 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Su Clinica Familiar Current
since Mar 2, 2018
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

  • Direct secure messaging: ocorral@cffc.ssdirect.aprima.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
183306301MedicaidTX
4661430001OtherTXPALMETTO DME FACILITY GROUP
1609869486OtherTXNPI INDIVIDUAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2024.

{
    "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

All providers in McAllen, TX · Foot & Ankle Surgery Podiatrist in Texas

Sources for this page

Verify at the official NPI Registry.