Individual provider Active NPI

Marius Vulcan, M.D.

  • Anesthesiology Physician
  • San Angelo, TX
National Provider Identifier
1104142397
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
Q1532 Issued in TX
Practice address
120 E Harris Ave
San Angelo, TX 76903-5904
Phone
(325) 657-5320
NPI assigned
Apr 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Q1532 TX Primary
Anesthesiology Physician 207L00000X BP10036850 TX
Interventional Pain Medicine Physician 208VP0014X Q1532 TX

Addresses

Primary practice location

120 E Harris Ave
San Angelo, TX 76903-5904

Mailing address

PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 658-1511

Other practice location 1

9150 Huebner Rd Ste 290
San Antonio, TX 78240-1598
Phone (210) 614-6432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150521002178 TX Practitioner - AnesthesiologyPractitioner - Pain Management 4688994270 Reassigns benefits to 3 organizations
I20251126003609 SD Practitioner - AnesthesiologyPractitioner - Pain Management 4688994270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Sanford School of Medicine of University of South Dakota, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Anesthesia Group PLLCGroup PAC ID 9931411022, 17 clinicians
South Texas Spinal Clinic, P.a.Group PAC ID 3274501804, 19 clinicians

Practice addresses (Care Compare)

19179 Blanco Rd
105 171
San Antonio, TX 78258-4042
Phone (210) 614-0180

9150 Huebner Rd
Suite 290
San Antonio, TX 78240-1598
Phone (210) 614-6432

Hospital & facility affiliations

  • South Texas Spine and Surgical Hospital Hospital, San Antonio, TX, CCN 450856
  • Legent Orthopedic + Spine Hospital, San Antonio, TX, CCN 670112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10036850TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Spinal Clinic, P.a. CurrentSince Jul 1, 2022 Accepting new patients
Dr Rogers Medical Group PA. CurrentSince Jun 1, 2018 Accepting new patients
West River Anesthesiology Consultants PC Anesthesiology CurrentSince Oct 20, 2025 Accepting new patients
South Texas Spinal Clinic, P.a. CurrentSince Jul 1, 2022 Accepting new patients
South Texas Anesthesia Group PLLC Anesthesiology CurrentSince Apr 30, 2024 Accepting new patients

Locations

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

2838 N Loop 1604 E
Ste 104
San Antonio, TX 78232
Phone (210) 495-2117

24200 Ih 10 W
Ste 107
San Antonio, TX 78257
Phone (210) 495-2117

5539 W Loop 1604 N
Ste 10
San Antonio, TX 78253
Phone (210) 403-9400

9150 Huebner Rd
Ste 290
San Antonio, TX 78240
Phone (210) 615-3566

18626 Hardy Oak Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 293-2922

19179 Blanco Rd
#105171
San Antonio, TX 78258

2003 Medical Pkwy
Ste A
San Marcos, TX 78666
Phone (512) 392-5359

Interoperability endpoints

  • Direct secure messaging: marius.vulcan.1@935.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAFGBD
  • FHIR API: https://api.platform.athenahealth.com/935/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mvulcan26030@shannonhealth.direct-ci.com

Organizations & group practices 5

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 2

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": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1104142397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22000",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769027200",
            "telephone_number": "325-658-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E HARRIS AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035904",
            "telephone_number": "325-657-5320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 Huebner Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401598",
            "country_code": "US",
            "telephone_number": "210-614-6432",
            "fax_number": "210-615-3586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VULCAN",
        "first_name": "MARIUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q1532",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP10036850",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "Q1532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.