Individual provider Active NPI

James J. Mancuso, MD

  • Interventional Cardiology Physician
  • Live Oak, TX
National Provider Identifier
1134303035
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
N2181 Issued in TX
Practice address
12709 Toepperwein Rd Ste 306
Live Oak, TX 78233-3223
Phone
(210) 967-0096
Fax
(210) 967-0383
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X N2181 TX Primary

Addresses

Primary practice location

12709 Toepperwein Rd Ste 306
Live Oak, TX 78233-3223

Mailing address

4411 Medical Dr
300
San Antonio, TX 78229-3822
Phone (210) 614-5400

Other practice location 1

1139 E Sonterra Blvd Ste 520
San Antonio, TX 78258-4347
Phone (210) 490-6000

Other identifiers 4

IdentifierTypeStateIssuer
316704YR99OtherTXMEDICARE
284764203MedicaidTX
8DV607OtherTXBCBSTX
P01251180OtherTXRR MEDICARE

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
I20110926000418 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular DiseasePractitioner - Internal Medicine 7911178876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Peripheral Vascular Disease
Education
University of Texas Medical School at San Antonio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians
Legacy Heart Care of San AntonioGroup PAC ID 9830316645, 12 clinicians

Practice addresses (Care Compare)

4411 Medical Dr
Suite 300
San Antonio, TX 78229-3824
Phone (210) 614-5400

8401 Datapoint Dr
Suite 421
San Antonio, TX 78229-5900
Phone (210) 558-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Clinic of San Antonio, PLLC Interventional Cardiology CurrentSince Aug 1, 2013 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince May 1, 2016 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince May 1, 2016 Accepting new patients
San Antonio Cardiology Clinic PA Past Accepting new patients

Locations

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

12500 Judson Rd
Ste 300
Live Oak, TX 78233
Phone (210) 473-0246

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

12709 Toepperwein Rd
Ste 306
Live Oak, TX 78233
Phone (210) 381-6533

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

1139 E Sonterra Blvd
Ste 520
San Antonio, TX 78258

Interoperability endpoints

  • Direct secure messaging: 3543-mancuso-jacob@direct.leadingreach.com
  • Direct secure messaging: james.mancuso@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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134303035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR",
            "address_2": "300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293822",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD STE 306",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333223",
            "telephone_number": "210-967-0096",
            "fax_number": "210-967-0383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 E Sonterra Blvd Ste 520",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584347",
            "country_code": "US",
            "telephone_number": "210-490-6000",
            "fax_number": "210-490-4658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "JAMES",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "N2181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "316704YR99",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284764203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8DV607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01251180",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.