Individual provider Active NPI

Malarvizhi Thangavelu, MD

  • Pediatrics Physician
  • Victoria, TX
National Provider Identifier
1972099166
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T0952 Issued in TX
Practice address
601 E Airline Rd
Victoria, TX 77901-3926
Phone
(361) 575-8500
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X T0952 TX Primary

Addresses

Primary practice location

601 E Airline Rd
Victoria, TX 77901-3926

Mailing address

601 E Airline Rd
Victoria, TX 77901-3926
Phone (210) 763-6307

Other practice location 1

3533 S Alameda St
Corpus Christi, TX 78411-1721
Phone (361) 695-5465

Other practice location 2

1533 S Brownlee Blvd
Corpus Christi, TX 78404-3131
Phone (361) 884-2242

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
I20210503001410 TX Practitioner - Pediatric Medicine 0345659405 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Physician Services of South Texas CurrentSince May 1, 2024 Accepting new patients
Children'S Physician Services of South Texas Pediatrics CurrentSince May 1, 2024 Accepting new patients
Airline Pediatrics, P.a. Pediatrics PastSince Aug 15, 2021 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3533 S Alameda St
Ste 203
Corpus Christi, TX 78411

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.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1972099166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013926",
            "telephone_number": "210-763-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013926",
            "telephone_number": "361-575-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3533 S Alameda St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784111721",
            "country_code": "US",
            "telephone_number": "361-695-5465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1533 S Brownlee Blvd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784043131",
            "country_code": "US",
            "telephone_number": "361-884-2242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THANGAVELU",
        "first_name": "MALARVIZHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T0952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.