Individual provider Active NPI

Carlos R Vela

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1780302919
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19247
Practice address
1506 S Lone Star Way Ste 7
Edinburg, TX 78539-4977
Phone
(956) 348-2918
NPI assigned
Aug 15, 2022
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19247 Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1506 S Lone Star Way Ste 7
Edinburg, TX 78539-4977

Mailing address

2121 E Griffin Pkwy Ste 6
Mission, TX 78572-3072
Phone (956) 583-2300

Other practice location 1

1201 W University Dr
Edinburg, TX 78539-2909
Phone (956) 665-7049

Other practice location 2

1201 W University Dr
Edinburg, TX 78539-2909

Other practice location 3

1201 West University Drive
Edinburg, TX 78539-2999

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
I20260223002928 TX Practitioner - Physician Assistant 9537673355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leroy Moreno PA C PLLCGroup PAC ID 0345602827, 4 clinicians

Practice addresses (Care Compare)

1506 S Lone Star Way
Suite 7
Edinburg, TX 78539-4977
Phone (956) 348-2918

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Joya's Neighborhood Doctor, P.a. CurrentSince Jun 23, 2025 Accepting new patients
Leroy Moreno PA-C PLLC CurrentSince Jan 5, 2026 Accepting new patients

Locations

1506 S Lone Star Way
Ste 7
Edinburg, TX 78539
Phone (956) 292-9330

2121 E Griffin Pkwy
Ste 6
Mission, TX 78572
Phone (956) 583-2300

Interoperability endpoints

  • Direct secure messaging: carlos.vela.1@29302.direct.athenahealth.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1780302919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY STE 6",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723072",
            "telephone_number": "956-583-2300",
            "fax_number": "956-622-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 S LONE STAR WAY STE 7",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394977",
            "telephone_number": "956-348-2918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785392909",
            "country_code": "US",
            "telephone_number": "956-665-7049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785392909",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 West University Drive",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785392999",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELA",
        "first_name": "CARLOS",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "PA19247",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.