Individual provider Active NPI

Carlos R Villalta, MD

  • General Practice Physician
  • Palmview, TX
National Provider Identifier
1639137193
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
J3646 Issued in TX
Practice address
202 Palmview Dr Ste 1
Palmview, TX 78572-9394
Phone
(956) 225-2625
Fax
(956) 598-6069
NPI assigned
May 3, 2006
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X J3646 TX Primary

Addresses

Primary practice location

202 Palmview Dr Ste 1
Palmview, TX 78572-9394

Mailing address

PO Box 3371
Mission, TX 78573-0057
Phone (956) 362-9600

Other practice location 1

210 S Bryan Rd
Suite 5A
Mission, TX 78572-6204
Phone (956) 585-6611

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
I20100520000565 TX Practitioner - Pediatric MedicinePractitioner - General Practice 6002945664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarojini Bose MD PAGroup PAC ID 5991728297, 4 clinicians

Practice addresses (Care Compare)

202 Palmview Dr
Suite 1
Palmview, TX 78572-9394
Phone (956) 225-2625

801 E Nolana Ave
Suite 13a
McAllen, TX 78504-6117
Phone (956) 686-2700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Home Town Family Healthcare CurrentSince Feb 28, 2024 Accepting new patients
Sarojini Bose MD PA Pediatrics CurrentSince May 1, 2015 Accepting new patients
Merced Family Health Clinic General Practice CurrentSince Feb 20, 2021 Accepting new patients
Dr Bose Industrial & Family Medicine PLLC PastSince May 1, 2014 Accepting new patients

Locations

1315 W Main Ave
#13A
Alton, TX 78573
Phone (956) 432-0222

1315 W Main Ave
Ste 13A
Alton, TX 78573
Phone (956) 432-0222

32685 US Highway 281 N
Ste 120
Bulverde, TX 78163
Phone (210) 742-7300

701 N Main St
Ste B
Donna, TX 78537
Phone (956) 464-3649

1903 E Monte Cristo Rd
Edinburg, TX 78542
Phone (956) 259-0405

514 S Closner Blvd
Edinburg, TX 78539
Phone (956) 287-2300

328 E Expressway 83
Ste A
La Joya, TX 78560
Phone (956) 270-4705

801 E Nolana Ave
Ste 13A
McAllen, TX 78504
Phone (956) 686-2700

2029 E Griffin Pkwy
Mission, TX 78572
Phone (956) 424-3222

220 S Conway Ave
#A
Mission, TX 78572
Phone (956) 348-4555

202 Palmview Dr
Ste 1
Palmview, TX 78572

17927A Washington Palm Dr
Penitas, TX 78576
Phone (956) 271-1048

6201 S Cage Blvd
Ste 5
Pharr, TX 78577
Phone (956) 283-7070

Interoperability endpoints

  • Direct secure messaging: carlos.villalta@ashleypediatrics.opdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1639137193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3371",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785730057",
            "telephone_number": "956-362-9600",
            "fax_number": "956-598-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PALMVIEW DR STE 1",
            "city": "PALMVIEW",
            "state": "TX",
            "postal_code": "785729394",
            "telephone_number": "956-225-2625",
            "fax_number": "956-598-6069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Bryan Rd",
            "address_2": "Suite 5A",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785726204",
            "country_code": "US",
            "telephone_number": "956-585-6611",
            "fax_number": "956-524-5157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALTA",
        "first_name": "CARLOS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J3646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmview, TX

Sources for this page

Verify at the official NPI Registry.