NPIMap

Individual provider Active NPI

Yolanda Marcos, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1104845445
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3612 Issued in TX
Practice address
510 Med Court
Suite 210
San Antonio, TX 78258-3936
Phone
(210) 494-4290
Fax
(210) 494-4809
NPI assigned
Jul 18, 2006
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3612 TX Primary

Addresses

Primary practice location

510 Med Court
Suite 210
San Antonio, TX 78258-3936

Mailing address

510 Med Court
Suite 210
San Antonio, TX 78258-3936
Phone (210) 494-4290

Other identifiers 2

IdentifierTypeStateIssuer
031448602MedicaidTX
031448601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070519000058 TX Practitioner - Internal Medicine 4688771082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yolanda Marcos MD PAGroup PAC ID 6002062197, 2 clinicians

Practice addresses (Care Compare)

510 Med CT
Suite 210
San Antonio, TX 78258-3484
Phone 2104944290513

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yolanda Marcos MD PA Internal Medicine CurrentSince Jun 14, 2012 Accepting new patients
Hillside Primary Care PLLC Internal Medicine PastSince Jun 14, 2012 Accepting new patients

Locations

510 Med Ct
Ste 210
San Antonio, TX 78258
Phone (210) 494-4290

Interoperability endpoints

  • Direct secure messaging: yolanda.marcos.1@20876.direct.athenahealth.com

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, 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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1104845445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MED COURT",
            "address_2": "SUITE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583936",
            "telephone_number": "210-494-4290",
            "fax_number": "210-494-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MED COURT",
            "address_2": "SUITE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583936",
            "telephone_number": "210-494-4290",
            "fax_number": "210-494-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOS",
        "first_name": "YOLANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031448602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031448601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.