Individual provider Active NPI

Gustavo Andres Arismendi, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1043810161
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1018191 Issued in TX
Practice address
1139 E Sonterra Blvd Ste 301
San Antonio, TX 78258-4348
Phone
(210) 477-1956
NPI assigned
Oct 28, 2020
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1018191 TX Primary

Addresses

Primary practice location

1139 E Sonterra Blvd Ste 301
San Antonio, TX 78258-4348

Mailing address

1139 E Sonterra Blvd Ste 301
San Antonio, TX 78258-4348

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
I20210125000150 TX Practitioner - Nurse Practitioner 2961816442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

1139 E Sonterra Blvd
Suite 301
San Antonio, TX 78258-4348
Phone (210) 477-1956

6800 I 10
Suite 100
San Antonio, TX 78201-2039
Phone (210) 575-8289

6800 W Ih
10 Suite 130
San Antonio, TX 78201-2039
Phone (210) 932-1487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as individual
Quality
88.37
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates of San Antonio, P.a. CurrentSince Jan 11, 2021 Accepting new patients
Neurosurgical Associates of San Antonio, P.a. CurrentSince Jan 11, 2021 Accepting new patients
Methodist Physician Practices, PLLC CurrentSince Oct 12, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

1139 E Sonterra Blvd
Ste 301
San Antonio, TX 78258
Phone (210) 477-1956

4410 Medical Dr
Ste 610
San Antonio, TX 78229
Phone (210) 477-5733

Interoperability endpoints

  • Direct secure messaging: gustavo.arismendi@hca7.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1043810161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584348",
            "telephone_number": "210-477-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARISMENDI",
        "first_name": "GUSTAVO",
        "middle_name": "ANDRES",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.