Individual provider Active NPI

Max Gerald Garoutte, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1235135344
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H9639 Issued in TX
Practice address
1003 NE Loop 410
San Antonio, TX 78209-1205
Phone
(210) 654-6000
Fax
(210) 654-6014
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H9639 TX
Cardiovascular Disease Physician 207RC0000X H9639 TX Primary

Addresses

Primary practice location

1003 NE Loop 410
San Antonio, TX 78209-1205

Mailing address

1003 NE Loop 410
San Antonio, TX 78209-1205
Phone (210) 654-6000

Other identifiers 5

IdentifierTypeStateIssuer
45D0955862OtherTXCLIA
752646025OtherTAX ID
3063865OtherCIGNA
83Z820OtherTXBCBS
085790601MedicaidTX

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
I20051116000464 TX Practitioner - Cardiovascular Disease (Cardiology) 0345265914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Missouri, Columbia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metro North Cardiovascular Associates, P.a.Group PAC ID 8022033364, 3 clinicians

Practice addresses (Care Compare)

1003 NE Loop
Suite 410
San Antonio, TX 78209-1205
Phone (210) 654-6000

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as individual
Quality
91.44
Improvement activities
40
Cost
58.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9639TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro North Cardiovascular Associates, P.a CurrentSince Apr 15, 1995 Accepting new patients
BHS Physicians Network, Inc Past Accepting new patients
North Central Cardiac Cath Lab LP Past Accepting new patients

Locations

4851 S Interstate 35 E
Ste 101
Denton, TX 76210
Phone (940) 270-5000

12410 Toepperwein Rd
Ste 101
Live Oak, TX 78233
Phone (210) 637-6400

1003 NE Loop 410
San Antonio, TX 78209
Phone (210) 654-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHJBBD/Endpoint/DHJBBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHJBBD

Organizations & group practices 3

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1235135344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 NE LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091205",
            "telephone_number": "210-654-6000",
            "fax_number": "210-654-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 NE LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091205",
            "telephone_number": "210-654-6000",
            "fax_number": "210-654-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROUTTE",
        "first_name": "MAX",
        "middle_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H9639",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H9639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0955862",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "752646025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3063865",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83Z820",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085790601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.