Individual provider Active NPI

Mary Dennis Altmeyer, MD

  • Dermatopathology Physician
  • San Antonio, TX
National Provider Identifier
1144493024
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
N9998 Issued in TX
Practice address
2620 McCullough Ave
San Antonio, TX 78212-3022
Phone
(210) 664-4675
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X N9998 TX
Dermatopathology Physician 207ND0900X N9998 TX Primary

Addresses

Primary practice location

2620 McCullough Ave
San Antonio, TX 78212-3022

Mailing address

2620 McCullough Ave
San Antonio, TX 78212-3022
Phone (210) 664-4675

Other identifiers 1

IdentifierTypeStateIssuer
351890401MedicaidTX

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
I20111005000392 TX Practitioner - DermatologyPractitioner - Other (Physician)Practitioner - Pathology 6608906706 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Tulane University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates of San Antonio, L.L.P.Group PAC ID 0648252155, 24 clinicians

Practice addresses (Care Compare)

9720 Datapoint Dr
San Antonio, TX 78229-2030
Phone (210) 892-3700

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Quality
85.42
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions24
Skin biopsy16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of San Antonio, L.L.P. CurrentSince Nov 1, 2025 Accepting new patients
Epiphany Dermatology PA Dermatology CurrentSince Oct 1, 2025 Accepting new patients
Mission Dermatopathology Laboratory, LLC Dermatology CurrentSince Jul 4, 2018 Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

7832 Pat Booker Rd
Live Oak, TX 78233
Phone (210) 657-9338

9600 Datapoint Dr
San Antonio, TX 78229
Phone (210) 892-3700

519 W Houston St
Fl 3
San Antonio, TX 78207
Phone (210) 225-3750

2620 McCullough Ave
San Antonio, TX 78212
Phone (210) 314-9898

18540 Sigma Rd
San Antonio, TX 78258
Phone (210) 490-4661

9720 Datapoint Dr
San Antonio, TX 78229
Phone (210) 892-3700

Organizations & group practices 6

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1144493024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123022",
            "telephone_number": "210-664-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123022",
            "telephone_number": "210-664-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMEYER",
        "first_name": "MARY",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N9998",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "N9998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351890401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.