Active NPI
Edmundo C Canales, M.D.
- Anesthesiology Physician
- McAllen, TX
National Provider Identifier
1669450185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G4889
- Practice address
- 1305 E Nolana St
Suite a
McAllen, TX 78504-6114 - Phone
- (956) 682-4151
- Fax
- (956) 682-4154
- NPI assigned
- Jan 4, 2006
- Last updated
- Jan 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G4889 | TX | Primary |
Addresses
Primary practice location
1305 E Nolana St
Suite a
McAllen, TX 78504-6114
Mailing address
PO Box 3744
McAllen, TX 78502-3744
Phone (956) 682-4151
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8V1950 | Other | TX | BCBS |
| P00391771 | Other | TX | MEDICARE RAILROAD |
| 134595109 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4889 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Rio Grande Valley Community Health Management Corporation Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- McAllen, TX
- NPI 1114130234
-
- Pain Medicine (Anesthesiology) Physician
- McAllen, TX
- NPI 1912187535
-
- Family Medicine Physician
- McAllen, TX
- NPI 1114130218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1669450185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3744",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785023744",
"telephone_number": "956-682-4151",
"fax_number": "956-682-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 E NOLANA ST",
"address_2": "SUITE A",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785046114",
"telephone_number": "956-682-4151",
"fax_number": "956-682-4154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANALES",
"first_name": "EDMUNDO",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "G4889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8V1950",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00391771",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134595109",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.