Individual provider Active NPI

David Alvaro Mayorga, MD

  • Infectious Disease Physician
  • Mission, TX
National Provider Identifier
1881743839
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
L8428 Issued in TX
Practice address
1022 E Griffin Pkwy
Suite 201 B
Mission, TX 78572-2400
Phone
(956) 424-3052
Fax
(956) 424-3219
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X L8428 TX Primary

Addresses

Primary practice location

1022 E Griffin Pkwy
Suite 201 B
Mission, TX 78572-2400

Mailing address

3201 San Clemente
Mission, TX 78572-7682
Phone (956) 424-3052

Other identifiers 2

IdentifierTypeStateIssuer
8V4021OtherTXBLUE CROSS
162581602MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Mission Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611000904 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 5092798801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1022 E Griffin Pkwy
Mission, TX 78572-2402
Phone (956) 424-3052

Hospital & facility affiliations

  • Mission Regional Medical Center Hospital, Mission, TX, CCN 450176
  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L8428TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Mayorga, M.D.,P.a. Infectious Disease CurrentSince Jul 10, 2012 Accepting new patients
Harold J. Pean MD PastSince Mar 1, 1997 Accepting new patients
Infectious Diseases Associates of Fort Lauderdale PA Infectious Disease Past Accepting new patients
Donna Medical Clinic, PLLC Past Accepting new patients

Locations

1022 E Griffin Pkwy
Ste 201
Mission, TX 78572
Phone (956) 424-3052

1022 E Griffin Pkwy
Ste 2
Mission, TX 78572

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1881743839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SAN CLEMENTE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727682",
            "telephone_number": "956-424-3052",
            "fax_number": "956-424-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E GRIFFIN PKWY",
            "address_2": "SUITE 201 B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722400",
            "telephone_number": "956-424-3052",
            "fax_number": "956-424-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYORGA",
        "first_name": "DAVID",
        "middle_name": "ALVARO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "L8428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8V4021",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162581602",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Mission",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1022 E Griffin Pkwy",
            "address_2": "SUITE 201 B",
            "city": "Mission",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785722400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.