Organization Active NPI

Lloyd P Van Winkle, MD, PA

  • Primary Care Clinic/Center
  • Castroville, TX
National Provider Identifier
1992837330
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G3878 Issued in TX
Legal business name
LLOYD P VAN WINKLE, MD, PA
Practice address
409 Madrid St
Castroville, TX 78009-4527
Phone
(830) 538-2254
Fax
(830) 931-2259
NPI assigned
Mar 12, 2007
Reactivated
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Lloyd P Vanwinkle, MDNPI 1306833173
Title
Medical Director
Phone
(830) 538-2254

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X G3878 TX Primary

Addresses

Primary practice location

409 Madrid St
Castroville, TX 78009-4527

Mailing address

PO Box 960
Castroville, TX 78009-0960
Phone (830) 538-2254

Other identifiers 3

IdentifierTypeStateIssuer
45D0498955OtherTXCLIA
TXB104619OtherTXMEDICARE ID TYPE UNSPECIFIED
142464002MedicaidTX

Other names 1

  • Medina Valley Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150811003781 TX Part B Supplier - Clinic/Group Practice 5294040952 Receives reassigned benefits from 2 practitioners
Practice locations: Castroville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0498955Medina Valley Family Practice409 Madrid, Castroville, TX 78009Provider-performed microscopyMay 6, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3350/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1992837330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780090960",
            "telephone_number": "830-538-2254",
            "fax_number": "830-931-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MADRID ST",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780094527",
            "telephone_number": "830-538-2254",
            "fax_number": "830-931-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD P VAN WINKLE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "deactivation_date": "2008-07-15",
        "reactivation_date": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "VANWINKLE",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "830-538-2254",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "G3878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0498955",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "TXB104619",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142464002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medina Valley Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castroville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.