Individual provider Active NPI

Michael Aguilar Davila, NP

  • Family Nurse Practitioner
  • New Braunfels, TX
National Provider Identifier
1891037123
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123452 Issued in TX
Practice address
1712 Chardonnay
New Braunfels, TX 78132-1885
Phone
(210) 473-7815
Fax
(210) 473-7815
NPI assigned
Mar 25, 2013
Last updated
Dec 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 608072 TX
Family Nurse Practitioner 363LF0000X AP123452 TX Primary
Gerontology Nurse Practitioner 363LG0600X 608072 TX

Addresses

Primary practice location

1712 Chardonnay
New Braunfels, TX 78132-1885

Mailing address

1712 Chardonnay
New Braunfels, TX 78132-1885
Phone (210) 473-7815

Other names 1

  • Mr. Michael A Davila Other name

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
I20130823000643 TX Practitioner - Nurse Practitioner 9032359260 Reassigns benefits to 2 organizations
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1712 Chardonnay
New Braunfels, TX 78132-1885
Phone (210) 473-7815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
608072TXMDPrimary Care Clinic/Center
AP123452TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Texas PLLC Family CurrentSince Dec 22, 2022 Accepting new patients
Post Acute Specialists of Texas PA Family CurrentSince May 1, 2020 Accepting new patients
Jar Enterprices Inc PastSince Sep 21, 2021 Accepting new patients
Hugo a. Rojas, M.D.,P.a. Past Accepting new patients
Alamo City Medical Group, PLLC PastSince Apr 1, 2013 Accepting new patients
Lone Star Extensivists PLLC PastSince Sep 1, 2024 Accepting new patients
Physicians Health Services, Inc. Gerontology Past Accepting new patients

Locations

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

831 Landa St
Ste A
New Braunfels, TX 78130

307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521

9014 Timber Path
San Antonio, TX 78250
Phone (210) 523-2455

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27217/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.davila.1@14883.direct.athenahealth.com
  • Direct secure messaging: michael.davila.2@27217.direct.athenahealth.com

Organizations & group practices 7

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1891037123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 CHARDONNAY",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781321885",
            "telephone_number": "210-473-7815",
            "fax_number": "210-473-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 CHARDONNAY",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781321885",
            "telephone_number": "210-473-7815",
            "fax_number": "210-473-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "MICHAEL",
        "middle_name": "AGUILAR",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "608072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123452",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "608072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "DAVILA",
            "middle_name": "A",
            "prefix": "MR.",
            "credential": "ANP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.