Individual provider Active NPI

Patricia Michaela Mackin, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1134440688
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P1351 Issued in TX
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

Updated by the provider on Apr 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131011000380 TX Practitioner - Family Practice 6507090255 Reassigns benefits to 1 organization

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
Rise Up Rehab, LLCGroup PAC ID 3274861497, 118 clinicians

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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North San Antonio Family Medicine Family Medicine CurrentSince May 11, 2017 Accepting new patients
Bexarfoot Podiatry PLLC CurrentSince May 6, 2019 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

  • Direct secure messaging: patricia.mackin.1@17445.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.