Individual provider Active NPI

Jorge Carlos Magallon, M.D.

  • Interventional Cardiology Physician
  • San Antonio, TX
National Provider Identifier
1134154172
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
P5549 Issued in TX
Practice address
311 Camden St
Ste 102
San Antonio, TX 78215-2012
Phone
(210) 281-9800
NPI assigned
Jul 11, 2006
Last updated
May 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 226745 MA
Cardiovascular Disease Physician 207RC0000X 244808 NY
Interventional Cardiology Physician 207RI0011X P5549 TX Primary

Addresses

Primary practice location

311 Camden St
Ste 102
San Antonio, TX 78215-2012

Mailing address

12446 West Ave
Ste 200
San Antonio, TX 78216-2517
Phone (210) 525-1668

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
I20130814000454 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7113920083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of California, Geffen School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000

11212 State Hwy 151
San Antonio, TX 78251-4498
Phone (210) 703-8000

1200 Brooklyn Ave
Suite 120
San Antonio, TX 78212-4816
Phone (210) 271-7266

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200

3154 SE Military Dr
D101
San Antonio, TX 78223-3974
Phone (210) 281-9800

3922 Wiseman Blvd
BLDG II
San Antonio, TX 78251-1668
Phone (210) 281-9800

6800 I 10
Suite 100
San Antonio, TX 78201-2039
Phone (210) 575-8289

6800 W Ih
10 Suite 130
San Antonio, TX 78201-2039
Phone (210) 932-1487

7390 Barlite Blvd
Suite 105
San Antonio, TX 78224-1338
Phone (210) 921-0000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244808NYMDCardiovascular Disease Physician
P5549TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Trustees Columbia University City Ny Center Interventional Vascular TH Interventional Cardiology Past Accepting new patients
Medical Care of Boston Management Corporation Internal Medicine Past Accepting new patients

Locations

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

11212 State Highway 151
Ste 340
San Antonio, TX 78251
Phone (210) 520-4100

311 Camden St
Ste 102
San Antonio, TX 78215

5126 W Loop 1604 N
Ste 407
San Antonio, TX 78251

7390 Barlite Blvd
Ste 105
San Antonio, TX 78224
Phone (210) 921-0000

Interoperability endpoints

  • Direct secure messaging: 6956-magallon-jorge@direct.leadingreach.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
  • Direct secure messaging: jorge.magallon@hca7.eclinicaldirectplus.com

Organizations & group practices 4

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 5

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1134154172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12446 WEST AVE",
            "address_2": "STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162517",
            "telephone_number": "210-525-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152012",
            "telephone_number": "210-281-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGALLON",
        "first_name": "JORGE",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "226745",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "244808",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "P5549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.