Individual provider Active NPI

Mario A Fierro, MD

  • Developmental - Behavioral Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1033172374
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
L5734 Issued in TX
Practice address
10350 Bandera Rd Ste 140
San Antonio, TX 78250-5616
Phone
(210) 450-7334
Fax
(210) 450-2124
NPI assigned
Apr 8, 2006
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L5734 TX
Developmental - Behavioral Pediatrics Physician 2080P0006X L5734 TX Primary

Addresses

Primary practice location

10350 Bandera Rd Ste 140
San Antonio, TX 78250-5616

Mailing address

10350 Bandera Rd Ste 140
San Antonio, TX 78250-5616
Phone (210) 450-7334

Other identifiers 1

IdentifierTypeStateIssuer
157726401MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110708000469 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 5395923619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Harvard Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10350 Bandera Rd
Suite 140
San Antonio, TX 78250-5616
Phone (210) 450-6530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. CurrentSince Apr 19, 2011 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 11, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 11, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio Pediatrics Current Accepting new patients

Locations

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

10350 Bandera Rd
Ste 140
San Antonio, TX 78250
Phone (210) 450-6530

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

5430 Fredericksburg Rd
Ste 508
San Antonio, TX 78229
Phone (210) 541-8281

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

Interoperability endpoints

  • Direct secure messaging: mfierro36408@direct.utmsa.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1033172374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 BANDERA RD STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505616",
            "telephone_number": "210-450-7334",
            "fax_number": "210-450-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 BANDERA RD STE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505616",
            "telephone_number": "210-450-7334",
            "fax_number": "210-450-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIERRO",
        "first_name": "MARIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L5734",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "TX",
            "license": "L5734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157726401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.