Individual provider Active NPI

Danielle Miltenberg, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1083150874
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19010 Issued in TX
Practice address
414 W Sunset Rd Ste 205
San Antonio, TX 78209-1771
Phone
(210) 564-8300
Fax
(210) 564-8399
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 PA9117570 FL
Physician Assistant 363A00000X PA19010 TX Primary

Addresses

Primary practice location

414 W Sunset Rd Ste 205
San Antonio, TX 78209-1771

Mailing address

414 W Sunset Rd Ste 205
San Antonio, TX 78209-1771
Phone (210) 564-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231023002695 FL Practitioner - Physician Assistant 4486000783 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9117570FLMDPhysician Assistant
PA19010TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System Inc CurrentSince Oct 17, 2023 Accepting new patients
Ascension Sacred Heart Gulf CurrentSince Mar 11, 2024 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Oct 17, 2023 Accepting new patients
Alamo Neurosurgical Institute PA CurrentSince Sep 8, 2025 Accepting new patients

Locations

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

26 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 416-2340

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

801 E 6th St
Ste 602
Panama City, FL 32401
Phone (850) 769-1766

3871 E Highway 98
Ste 200
Port St Joe, FL 32456
Phone (850) 229-5661

414 W Sunset Rd
Ste 205
San Antonio, TX 78209
Phone (210) 564-8300

Interoperability endpoints

  • Direct secure messaging: danielle.miltenberg.2@9582.direct.athenahealth.com
  • Direct secure messaging: danielle.miltenberg.1@9582.direct.athenahealth.com

Organizations & group practices 6

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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1083150874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W SUNSET RD STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091771",
            "telephone_number": "210-564-8300",
            "fax_number": "210-564-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W SUNSET RD STE 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091771",
            "telephone_number": "210-564-8300",
            "fax_number": "210-564-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTENBERG",
        "first_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117570",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.