Organization Active NPI

Palm Valley Medical Clinic PA

  • Sleep Medicine (Family Medicine) Physician
  • McAllen, TX
National Provider Identifier
1821489956
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
H6387 Issued in TX
Legal business name
PALM VALLEY MEDICAL CLINIC PA
Practice address
5112 N 10TH St
McAllen, TX 78504-2834
Phone
(956) 972-1600
Fax
(956) 972-0880
NPI assigned
Feb 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Dr. Noel Lopez, M.D.NPI 1831119908
Title
Owner
Phone
(956) 972-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X H6387 TX Primary

Addresses

Primary practice location

5112 N 10TH St
McAllen, TX 78504-2834

Mailing address

5140 N 10TH St
McAllen, TX 78504-2834
Phone (956) 972-1600

Other identifiers 1

IdentifierTypeStateIssuer
00753TOtherTXMEDICARE

Other names 1

  • Palm Valley Sleep Lab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091130000618 TX Part B Supplier - Clinic/Group Practice 9638218985 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: McAllen, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5112 N 10th St
McAllen, TX 78504
Phone (956) 213-8102

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1821489956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 N 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042834",
            "telephone_number": "956-972-1600",
            "fax_number": "956-972-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 N 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042834",
            "telephone_number": "956-972-1600",
            "fax_number": "956-972-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VALLEY MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-972-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "TX",
            "license": "H6387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00753T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Valley Sleep Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.