NPIMap

Individual provider Active NPI

Karla Sue Vitale, D.O.

  • Family Medicine Physician
  • Victoria, TX
National Provider Identifier
1659334779
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7366 Issued in TX
Practice address
309 Edinburgh St
Victoria, TX 77904-2895
Phone
(505) 285-1437
NPI assigned
Apr 10, 2006
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 P7366 TX Primary

Addresses

Primary practice location

309 Edinburgh St
Victoria, TX 77904-2895

Mailing address

309 Edinburgh St
Victoria, TX 77904-2895
Phone (505) 285-1437

Other identifiers 5

IdentifierTypeStateIssuer
2Z1716OtherAZHEALTHNET
X0196037OtherTXTEXAS DPS
AZ0783160OtherAZBCBS
7039717OtherAZAETNA
954140MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130809000593 TX Practitioner - Family Practice 3577509819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria Hospitalist Associates, LLCGroup PAC ID 6204927122, 39 clinicians

Practice addresses (Care Compare)

506 E San Antonio St
De Tar Navarro Hospital
Victoria, TX 77901-6060
Phone (361) 575-7441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7366TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Hospitalist Associates, LLC CurrentSince Jun 23, 2018 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Current Accepting new patients
Generations Family Medicine PC PastSince Jul 7, 2005 Accepting new patients
Victoria of Texas LP Past Accepting new patients

Locations

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

501 E Colorado St
Victoria, TX 77901
Phone (361) 571-5283

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Organizations & group practices 6

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 6

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1659334779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 EDINBURGH ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042895",
            "telephone_number": "505-285-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 EDINBURGH ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042895",
            "telephone_number": "505-285-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "KARLA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Z1716",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DPS",
            "identifier": "X0196037",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0783160",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7039717",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "954140",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.