Individual provider Active NPI

Marizu Borrego, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1003041666
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-05816 Issued in TX
Practice address
19272 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-3371
Phone
(210) 265-8851
Fax
(210) 265-8855
NPI assigned
May 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-05816 TX Primary

Addresses

Primary practice location

19272 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-3371

Mailing address

19272 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-3371
Phone (210) 265-8851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000710 TX Practitioner - Physician Assistant 8628102019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical School at San Antonio, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Associates of South Texas, PLLCGroup PAC ID 9931103447, 17 clinicians

Practice addresses (Care Compare)

19272 Stone Oak Pkwy
San Antonio, TX 78258-3372
Phone (210) 265-8851

3903 Wiseman Blvd
Suite 221
San Antonio, TX 78251-4417
Phone (210) 265-8851

Merit-based Incentive Payment System (MIPS)

Final score
73.06 of 100Reported as group
Quality
83.27
Promoting interoperability
90
Improvement activities
40
Cost
35.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-05816TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of South Texas, PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1003041666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19272 STONE OAK PKWY",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583371",
            "telephone_number": "210-265-8851",
            "fax_number": "210-265-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19272 STONE OAK PKWY",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583371",
            "telephone_number": "210-265-8851",
            "fax_number": "210-265-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORREGO",
        "first_name": "MARIZU",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA-05816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.