Individual provider Active NPI

Luis Ayala, CRNA

  • Certified Registered Nurse Anesthetist
  • Harlingen, TX
National Provider Identifier
1891874418
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
710443 Issued in TX
Practice address
5501 S Expressway 77
Harlingen, TX 78550-3213
Phone
(361) 985-1221
Fax
(361) 985-1295
NPI assigned
Nov 3, 2006
Last updated
Mar 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 710443 TX Primary

Addresses

Primary practice location

5501 S Expressway 77
Harlingen, TX 78550-3213

Mailing address

PO Box 201437
Dallas, TX 75320-1437
Phone (361) 985-1221

Other identifiers 3

IdentifierTypeStateIssuer
171682101MedicaidTX
171682102MedicaidTX
88922UOtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000551 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325006760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas - Dallas PLLCGroup PAC ID 3678966819, 20 clinicians

Practice addresses (Care Compare)

1700 E Saunders St
Laredo Medical Center
Laredo, TX 78041-5474
Phone (956) 796-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
710443TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas - Dallas PLLC CurrentSince Jul 1, 2022 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Harlingen Anesthesia Associates Past Accepting new patients
Gulfstream Anesthesia Associates, P. a. Past Accepting new patients
Compass BDH, LLC Past Accepting new patients

Locations

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

6124 W Parker Rd
Ste 530
Plano, TX 75093
Phone (214) 778-1075

Organizations & group practices 5

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 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1891874418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201437",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753201437",
            "telephone_number": "361-985-1221",
            "fax_number": "361-985-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 S EXPRESSWAY 77",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503213",
            "telephone_number": "361-985-1221",
            "fax_number": "361-985-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "LUIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "710443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171682101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171682102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88922U",
            "state": "TX"
        }
    ],
    "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 Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.