Individual provider Active NPI

Josue Isai Aldrete, PA

  • Physician Assistant
  • Brownsville, TX
National Provider Identifier
1740735588
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10633 Issued in TX
Practice address
5460 Paredes Line Rd
Ste 200
Brownsville, TX 78526-9740
Phone
(956) 554-0010
Fax
(956) 554-3288
NPI assigned
Aug 22, 2016
Last updated
Nov 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10633 TX Primary

Addresses

Primary practice location

5460 Paredes Line Rd
Ste 200
Brownsville, TX 78526-9740

Mailing address

5460 Paredes Line Rd
Ste 200
Brownsville, TX 78526-9740
Phone (956) 554-0010

Other identifiers 2

IdentifierTypeStateIssuer
362274801MedicaidTX
531453YLPSOtherTXWELLMED PTAN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003002615 TX Practitioner - Physician Assistant 0143518332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

5460 N Paredes Line Road
200 Wellmed at North Brownsville
Brownsville, TX 78526-9741
Phone (956) 554-0010

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Sep 12, 2016 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Sep 12, 2016 Accepting new patients

Locations

5460 Paredes Line Rd
Ste 200
Brownsville, TX 78526
Phone (956) 554-0010

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: josue.aldrete@wellmed.eclinicaldirectplus.com

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

Hospital & facility affiliations 1

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1740735588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 PAREDES LINE RD",
            "address_2": "STE 200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785269740",
            "telephone_number": "956-554-0010",
            "fax_number": "956-554-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 PAREDES LINE RD",
            "address_2": "STE 200",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785269740",
            "telephone_number": "956-554-0010",
            "fax_number": "956-554-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRETE",
        "first_name": "JOSUE",
        "middle_name": "ISAI",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362274801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "531453YLPS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.