MR. MICHAEL AYDALLA (AGACNP-BC, MSN, RN) – Nurse Practitioner, NPI 1790357937
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for MR. MICHAEL AYDALLA (AGACNP-BC, MSN, RN)
2200 Colorado Ave Apt 208
Santa Monica, CA 904045539
Phone: (361) 960-3691
Type: Location
5802 Saratoga Blvd Ste 200
Corpus Christi, TX 784144252
Phone: (361) 696-6200
Type: Location
2200 COLORADO AVE APT 208
SANTA MONICA, CA 904045539
Phone: (361) 960-3691
Type: Mailing
5501 US-77
HARLINGEN, TX 78550
Phone: (956) 365-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211108000187 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 64 | 64 | $0 |
Insurance plans in this area (ZIP 90404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | TX | |
| Critical Care (Intensivists), Internal Medicine | TX | |
| Pulmonary Disease, Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Physician Assistant | TX |
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