NPIMap

Organization Active NPI

Medcare Associates, P.a.

  • Internal Medicine Physician
  • Bandera, TX
National Provider Identifier
1215025598
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K0839 Issued in TX
Legal business name
MEDCARE ASSOCIATES, P.A.
Practice address
1050 Highway 16 South
Bandera, TX 78003
Phone
(830) 796-7713
Fax
(830) 796-7744
NPI assigned
Oct 11, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Ruth Frazier
Title
Executive Administrator
Phone
(830) 816-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K0839 TX Primary

Addresses

Primary practice location

1050 Highway 16 South
Bandera, TX 78003

Mailing address

PO Box 2870
Bandera, TX 78003-2870
Phone (830) 796-7713

Other identifiers 8

IdentifierTypeStateIssuer
414865OtherTXFIRST HEALTH/COVENTRY
1215025598MedicaidTX
3347OtherTXSUPERIOR HEALTH PLAN
0055BYOtherTXBCBS OF TEXAS
10002909OtherTXAMERIGROUP
191965261126OtherTXHUMANA
2132872OtherAETNA
771OtherTXCOMMUNITY FIRST HEALTH

Other names 1

  • Bandera Family Practice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040719001620 TX Part B Supplier - Clinic/Group Practice 5294714580 Receives reassigned benefits from 35 practitioners
Practice locations: Utopia, TX; San Antonio, TX; Castroville, TX; Boerne, TX; Bandera, TX

National Provider Directory

National Provider Directory

Locations

120 Medical Dr
Boerne, TX 78006
Phone (830) 249-9307

19260 Stone Oak Pkwy
Ste 105
San Antonio, TX 78258
Phone (210) 402-3456

4458 Medical Dr
Ste 405
San Antonio, TX 78229
Phone (210) 314-1718

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1215025598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2870",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780032870",
            "telephone_number": "830-796-7713",
            "fax_number": "830-796-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 HIGHWAY 16 SOUTH",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "78003",
            "telephone_number": "830-796-7713",
            "fax_number": "830-796-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "830-816-5700"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH/COVENTRY",
            "identifier": "414865",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215025598",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "3347",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0055BY",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10002909",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "191965261126",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2132872",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY FIRST HEALTH",
            "identifier": "771",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bandera Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bandera, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.