Active NPI
Carol E Menzel-Anderson, M.D.
- Internal Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J5835
- Practice address
- 18414 US Highway 281 N Ste 104
San Antonio, TX 78259-7611 - Phone
- (210) 495-0222
- Fax
- (855) 278-4550
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | J5835 | TX | |
| Internal Medicine Physician | 207R00000X | J5835 | TX | Primary |
Addresses
Primary practice location
18414 US Highway 281 N Ste 104
San Antonio, TX 78259-7611
Mailing address
6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (305) 500-2027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J5835 | Other | TX | TX MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of New Mexico School of Medicine, 1989
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
6565 W Loop S
Suite 525
Bellaire, TX 77401-3519
Phone (713) 677-2475
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5835 | TX | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hospital Medicine Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Contemporary Medicine Associates, PLLC | Current | Accepting new patients | |
| Ipc Healthcare Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584
6565 West Loop S
Ste 525
Bellaire, TX 77401
Phone (713) 661-7888
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
Interoperability endpoints
- cij5751@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Addiction Medicine (Family Medicine) Physician
- Bellaire, TX
- NPI 1750503553
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
Internal Medicine
-
- Hospitalist Physician
- Las Cruces, NM
- NPI 1972056752
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1093816183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262051",
"telephone_number": "305-500-2027",
"fax_number": "305-500-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18414 US HIGHWAY 281 N STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782597611",
"telephone_number": "210-495-0222",
"fax_number": "855-278-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENZEL-ANDERSON",
"first_name": "CAROL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "TX",
"license": "J5835",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J5835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX MEDICAL LICENSE",
"identifier": "J5835",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.