Individual provider Active NPI

Michael Aydalla, AGACNP-BC, MSN, RN

  • Nurse Practitioner
  • Harlingen, TX
National Provider Identifier
1790357937
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1045274 Issued in TX
Practice address
5501 US-77
Harlingen, TX 78550
Phone
(956) 365-1000
NPI assigned
Jul 16, 2021
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211108000187 TX Practitioner - Nurse Practitioner 4082003371 Reassigns benefits to 5 organizations

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
Gulf Coast Physician Services, PLLCGroup PAC ID 7214388826, 104 clinicians
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians
Benchmark Inpatient Services PLLCGroup PAC ID 3678821469, 23 clinicians

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

LicenseStateTypeSpecialty
1045274TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Inpatient Services PLLC CurrentSince Aug 1, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 8, 2023 Accepting new patients
Padmini Bhadriraju MD P.a. CurrentSince Oct 26, 2021 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Sep 5, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 8, 2023 Accepting new patients
Gulf Coast Physician Services, PLLC Nurse Practitioner CurrentSince Feb 1, 2024 Accepting new patients
RGV Wound Care Hyperbaricmedicine and Lymphedema Management Group PLLC PastSince Aug 29, 2021 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBCCD
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.