MARIO ALBERTO PADILLA AGACNP-BC
NPI 1639844624
Nurse Practitioner - Acute Care in Dallas, TX

Active since August 11, 2021PECOS EnrolledAccepts Medicare Assignment
3500 GASTON AVE, DALLAS, TX 75246(214) 820-3256 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mario Alberto Padilla Agacnp-bc NPPES

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

MARIO ALBERTO PADILLA AGACNP-BC (NPI 1639844624) is an individual acute care provider in Dallas, Texas, licensed in Texas (1048719) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639844624
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMARIO ALBERTO PADILLACredential: AGACNP-BC
Location Address3500 GASTON AVEDallas, TX 75246-2088
Mailing Address6374 County Road 4508Athens, TX 75752-6449
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 11, 2021
NPPES CertifiedAugust 9, 2021
✔ NPI 1639844624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1048719
3500 GASTON AVE, Dallas, TX 75246

Accepted 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

Mario Alberto Padilla Agacnp-bc 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 ID6507255965
PECOS Enrollment IDI20211105001587
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 Reassignments

4

Medicare enrollment records show Mario Padilla reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
3600 GASTON AVE STE 550
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
Critical Care Medicine
2710 SWISS AVE
Dallas, TX 75204
  • Reassigned Medicare billing, Texas enrollment
  • 124 clinicians in this Medicare group
Trauma Surgery
2710 SWISS AVENUE
Dallas, TX 75204
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Urgent Surgery Associates PA
  • 120 clinicians in this Medicare group
Cardiovascular Disease
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 636 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246

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 Mario Padilla's NPI number?

The NPI number for Mario Padilla is 1639844624. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Mario Padilla located?

Mario Padilla practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-3256.

What is Mario Padilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mario Padilla enrolled in Medicare?

Yes. Mario Padilla 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 organizations bill Medicare for Mario Padilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Padilla reassigns Medicare benefits to 4 organizations: Healthtexas Provider Network (Dallas, TX), North Texas Critical Care PA (Dallas, TX), Urgent Surgery Associates, P.A. (Dallas, TX) and Etmc Physician Group Inc. (Tyler, TX). Each 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 Mario Padilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Padilla 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 Mario Padilla 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 Mario Padilla affiliated with any hospitals?

According to CMS data, Mario Padilla is affiliated with Ut Health East Texas Tyler Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mario Padilla was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.