1. Home
  2. Directory
  3. Texas
  4. Mcallen
  5. Family Medicine
  6. NPI Profile

ERASTO CANALES MD
NPI 1396713616
Family Medicine in Mcallen, TX

Active since March 11, 2006PECOS EnrolledAccepts Medicare Assignment
334 LINDBERG AVE, MCALLEN, TX 78501(956) 686-2020(956) 686-3094 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Erasto Canales Md NPPES

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

ERASTO CANALES MD (NPI 1396713616) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (J4020) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1396713616
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERASTO CANALESCredential: MD
Location Address334 LINDBERG AVEMcallen, TX 78501-2943
Mailing Address334 Lindberg AveMcallen, TX 78501-2943 · (956) 686-2020 · Fax (956) 686-3094
Phone(956) 686-2020
Fax(956) 686-3094
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateMarch 11, 2006
Last NPPES UpdateNovember 30, 2010
✔ NPI 1396713616 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 · J4020
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.
334 LINDBERG AVE, Mcallen, TX 78501
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINF63011
Medicare PIN00K10YTX
Other126917704TX · Tx Health Steps
Medicaid126917703TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erasto Canales Md 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 ID4587824487
PECOS Enrollment IDI20120330000384
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.

Medicare Billing Reassignment

Medicare enrollment records show Erasto Canales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Erasto Canales, M.D., P.A.
Same address
Family Medicine
334 LINDBERG AVE
Mcallen, TX 78501
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Erasto Canales MD PA
  • 3 clinicians in this Medicare group
NPI 1598076226 (956) 686-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 45D0898820

Erasto Canales MD PA · Mcallen, TX
Expired · Oct 26, 2026
CLIA Number45D0898820
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorErasto Canales
Laboratory Phone(956) 686-2020
Laboratory LocationErasto Canales MD PA334 Lindberg, Mcallen, TX 78501
CLIA data matches this NPI record on: Address Name Phone
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 6

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.
208 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services20 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.
20 services15 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
20 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
11 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.

ERASTO CANALES, M.D., P.A.
Family Medicine
334 LINDBERG AVE
MCALLEN, TX 78501
Hidalgo County (956) 686-2020

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 Erasto Canales's NPI number?

The NPI number for Erasto Canales is 1396713616. It was assigned to this individual provider in the NPPES registry on March 11, 2006.

Where is Erasto Canales located?

Erasto Canales practices at 334 Lindberg Ave, Mcallen, TX 78501. The listed phone number is (956) 686-2020.

What is Erasto Canales's specialty?

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

Is Erasto Canales enrolled in Medicare?

Yes. Erasto 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.

Which organization bills Medicare for Erasto Canales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erasto Canales reassigns Medicare benefits to Erasto Canales, M.D., P.A. (Mcallen, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erasto Canales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erasto 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 3 other insurers list Erasto 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 Erasto Canales affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Erasto Canales was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.