Active NPI
Patricia Michaela Mackin, MD
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1134440688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P1351
- Practice address
- 4334 N Loop 1604 W Ste 102
San Antonio, TX 78249-3485 - Phone
- (210) 644-2611
- Fax
- (210) 892-2972
- NPI assigned
- Jun 18, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P1351 | TX | Primary |
Addresses
Primary practice location
4334 N Loop 1604 W Ste 102
San Antonio, TX 78249-3485
Mailing address
4334 N Loop 1604 W Ste 102
San Antonio, TX 78249-3485
Phone (210) 664-2611
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954
4334 N Loop 1604
Suite 102
San Antonio, TX 78249-3485
Phone (210) 892-2971
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North San Antonio Family Medicine | Family Medicine | Current | Accepting new patients |
| Bexarfoot Podiatry PLLC | Current | Accepting new patients | |
| Wellmed Medical Group, PA | Family Medicine | Past | Accepting new patients |
| BHS Specialty Network Inc | Past | Accepting new patients |
Locations
4334 N Loop 1604 W
Ste 102
San Antonio, TX 78249
Phone (210) 540-4205
Interoperability endpoints
- patricia.mackin.1@17445.direct.athenahealth.com
- https://api.platform.athenahealth.com/17445/brand/1/csg/1/fhir/r4
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.
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-
- Internal Medicine Physician
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Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776556800000",
"number": "1134440688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4334 N LOOP 1604 W STE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493485",
"telephone_number": "210-664-2611",
"fax_number": "210-664-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4334 N LOOP 1604 W STE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493485",
"telephone_number": "210-644-2611",
"fax_number": "210-892-2972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKIN",
"first_name": "PATRICIA",
"middle_name": "MICHAELA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2026-04-19",
"certification_date": "2026-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P1351",
"primary": true
}
],
"identifiers": [],
"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 Apr 19, 2026; 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.