Individual provider Active NPI

Michelle Andrea McGill, MD

  • Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1053799098
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
97836 Issued in GA
Practice address
4502 Medical Drive
San Antonio, TX 78229-4402
Phone
(210) 358-4000
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 97836 GA Primary
Surgery Physician 208600000X BP10052708 TX

Addresses

Primary practice location

4502 Medical Drive
San Antonio, TX 78229-4402

Mailing address

11158 Vance Jackson Rd Unit 4
San Antonio, TX 78230-2447
Phone (832) 474-9584

Other practice location 1

3601 4th St # MS 8312
Lubbock, TX 79430-0002
Phone (806) 743-2373

Other names 1

  • Michelle Andrea Estrada Former name

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
I20250714004026 TX Practitioner - Plastic and Reconstructive Surgery 1658679147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Aesthetic and Reconstructive Surgery PLLCGroup PAC ID 5890078703, 5 clinicians

Practice addresses (Care Compare)

8042 Wurzbach Rd
Suite 130
San Antonio, TX 78229-3823
Phone (210) 201-2806

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97836GAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Aesthetic and Reconstructive Surgery PLLC Multi-Specialty CurrentSince Aug 25, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Multi-Specialty Past Accepting new patients

Locations

8042 Wurzbach Rd
Ste 130
San Antonio, TX 78229
Phone (210) 201-2806

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.

Hospital & facility affiliations 1

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1053799098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11158 VANCE JACKSON RD UNIT 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302447",
            "telephone_number": "832-474-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 4th St # MS 8312",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794300002",
            "country_code": "US",
            "telephone_number": "806-743-2373",
            "fax_number": "806-743-4354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "MICHELLE",
        "middle_name": "ANDREA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "97836",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10052708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ESTRADA",
            "middle_name": "ANDREA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.