Individual provider Active NPI

Caroline Marie Sipili, PA

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1013450568
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10756 Issued in TX
Practice address
11130 Christus HLS Ste 210
San Antonio, TX 78251-3586
Phone
(210) 245-2000
Fax
(210) 245-2020
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10756 TX
Medical Physician Assistant 363AM0700X PA10756 TX Primary

Addresses

Primary practice location

11130 Christus HLS Ste 210
San Antonio, TX 78251-3586

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

7979 Wurzbach Rd Fl 5
San Antonio, TX 78229-4427
Phone (210) 450-3009

Other practice location 2

1050 Hwy 16 S
Bandera, TX 78003-4830
Phone (830) 796-7713

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
I20170119000656 TX Practitioner - Physician Assistant 6709168172 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10756TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Jan 1, 2018 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jan 1, 2018 Accepting new patients

Locations

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

7979 Wurzbach Rd
Fl 5
San Antonio, TX 78229
Phone (210) 450-1429

7703 Floyd Curl Dr
#7977
San Antonio, TX 78229
Phone (210) 292-0400

Organizations & group practices 4

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": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1013450568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 CHRISTUS HLS STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513586",
            "telephone_number": "210-245-2000",
            "fax_number": "210-245-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7979 Wurzbach Rd Fl 5",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294427",
            "country_code": "US",
            "telephone_number": "210-450-3009",
            "fax_number": "210-450-3041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Hwy 16 S",
            "address_purpose": "LOCATION",
            "city": "Bandera",
            "state": "TX",
            "postal_code": "780034830",
            "country_code": "US",
            "telephone_number": "830-796-7713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPILI",
        "first_name": "CAROLINE",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10756",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.