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RICARDO CANALES MD PA
NPI 1023086345
Family Medicine in Mcallen, TX

Active since March 11, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D2114100 · Accreditation
240 LINDBERG AVE, MCALLEN, TX 78501(956) 627-0531(956) 627-0248 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Aug 27, 2019, Aug 15, 2019 (3 updates tracked since 2019).

About Ricardo Canales Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICARDO CANALES MD PA (NPI 1023086345) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (K4385) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, holds an CLIA Accreditation certificate valid through March 28, 2027, and is affiliated with Doctors Hosptal At Renaissance.

NPPES Registry Identity

NPI1023086345
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICARDO CANALESCredential: MD PA
Location Address240 LINDBERG AVEMcallen, TX 78501-2920
Mailing Address240 Lindberg AveMcallen, TX 78501-2920 · (956) 627-0531 · Fax (956) 627-0248
Phone(956) 627-0531
Fax(956) 627-0248
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateMarch 11, 2006
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1023086345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K4385
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
240 LINDBERG AVE, Mcallen, TX 78501
Open in Google Maps ↗

Other Identifiers 2

Other092233802TX · Tx Health Steps
Medicaid092233801TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ricardo Canales Md Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456543917
PECOS Enrollment IDI20101004000346
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2114100

Ricardo Canales MD PA Family Practice · Mcallen, TX
Active · expires Mar 28, 2027
CLIA Number45D2114100
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorRicardo Canales
Laboratory Phone(956) 343-3451
Laboratory LocationRicardo Canales MD PA Family Practice240 Lindberg Ave, Mcallen, TX 78501
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
129 services39 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
57 services30 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
30 services18 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
14 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICARDO CANALES, M.D., P.A.
Family Medicine
240 LINDBERG AVE
MCALLEN, TX 78501
Hidalgo County (956) 627-0531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricardo Canales's NPI number?

The NPI number for Ricardo Canales is 1023086345. It was assigned to this individual provider in the NPPES registry on March 11, 2006.

Where is Ricardo Canales located?

Ricardo Canales practices at 240 Lindberg Ave, Mcallen, TX 78501. The listed phone number is (956) 627-0531.

What is Ricardo Canales's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ricardo Canales enrolled in Medicare?

Yes. Ricardo Canales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Ricardo Canales hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2114100) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ricardo Canales accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Ricardo Canales as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ricardo Canales affiliated with any hospitals?

According to CMS data, Ricardo Canales is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Ricardo Canales was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.