Active NPI
Michael Aydalla, AGACNP-BC, MSN, RN
- Nurse Practitioner
- Harlingen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1045274
- Practice address
- 5501 US-77
Harlingen, TX 78550 - Phone
- (956) 365-1000
- NPI assigned
- Jul 16, 2021
- Last updated
- Apr 3, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1045274 | TX | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 1045274 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | 1045274 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 1045274 | TX |
Addresses
Primary practice location
5501 US-77
Harlingen, TX 78550
Mailing address
2200 Colorado Ave Apt 208
Santa Monica, CA 90404-5539
Phone (361) 960-3691
Other practice location 1
2200 Colorado Ave Apt 208
Santa Monica, CA 90404-5539
Phone (361) 960-3691
Other practice location 2
5802 Saratoga Blvd Ste 200
Corpus Christi, TX 78414-4252
Phone (361) 696-6200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1311 E General Cavazos Blvd
Christus Spohn Hospital Kleberg
Kingsville, TX 78363-7150
Phone (361) 595-1661
1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7000
2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-2044
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1045274 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Inpatient Services PLLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Padmini Bhadriraju MD P.a. | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of Texas, PLLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Gulf Coast Physician Services, PLLC | Nurse Practitioner | Current | Accepting new patients |
| RGV Wound Care Hyperbaricmedicine and Lymphedema Management Group PLLC | Past | Accepting new patients | |
| MD Hospitalists PLLC | Past | Accepting new patients |
Locations
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000
5802 Saratoga Blvd
Ste 200
Corpus Christi, TX 78414
Phone (361) 696-6200
600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511
1821 S Sesame Sq
Ste 10
Harlingen, TX 78550
Phone (956) 212-9377
2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100
508 Victoria Ln
Harlingen, TX 78550
Phone (956) 425-6900
5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661
2000 S McColl Rd
Ste B
McAllen, TX 78503
Phone (956) 215-6010
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HFBCCD
- maydalla368085@christushealth.direct-ci.net
Organizations & group practices 8
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.
-
dba Beyond Inpatient Services PLLC
- Critical Care Medicine (Internal Medicine) Physician
- Harlingen, TX
- NPI 1285111021
-
- Internal Medicine Physician
- Corpus Christi, TX
- NPI 1922889187
Nurse Practitioner
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba Catalyst Hospitalists Group
- Hospitalist Physician
- Edinburg, TX
- NPI 1619278876
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Hospitalist Physician
- McAllen, TX
- NPI 1235672809
-
dba RGV Wound Care Group
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- McAllen, TX
- NPI 1164028155
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS Spohn Hospital Corpus Christi
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
-
dba Harlingen Medical Center
- General Acute Care Hospital
- Harlingen, TX
- NPI 1881688976
-
dba Valley Baptist Medical Center
- General Acute Care Hospital
- Harlingen, TX
- NPI 1154618742
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
-
dba Westover Hills Baptist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1831970532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1790357937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 COLORADO AVE APT 208",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904045539",
"telephone_number": "361-960-3691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 US-77",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "78550",
"telephone_number": "956-365-1000"
}
],
"practiceLocations": [
{
"address_1": "2200 Colorado Ave Apt 208",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904045539",
"country_code": "US",
"telephone_number": "361-960-3691",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5802 Saratoga Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784144252",
"country_code": "US",
"telephone_number": "361-696-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYDALLA",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "AGACNP-BC, MSN, RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-16",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1045274",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1045274",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "1045274",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1045274",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.