Individual provider Active NPI

Carisse M. Orsi, MD

  • Pediatric Endocrinology Physician
  • San Antonio, TX
National Provider Identifier
1235313073
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
N5299 Issued in TX
Practice address
5107 Medical Dr
San Antonio, TX 78229-4801
Phone
(210) 614-8612
Fax
(210) 615-1666
NPI assigned
Dec 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X N5299 TX Primary

Addresses

Primary practice location

5107 Medical Dr
San Antonio, TX 78229-4801

Mailing address

7703 Floyd Curl Dr
Mc7977
San Antonio, TX 78229-3901
Phone (210) 257-1400

Other identifiers 2

IdentifierTypeStateIssuer
210133901MedicaidTX
210133902OtherTXCSHCN

Other names 1

  • Dr. Carisse A. Mendoza Former name

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
I20100827000191 TX Practitioner - Pediatric Medicine 0143344135 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes and Glandular Disease Clinic PA CurrentSince Apr 6, 2022 Accepting new patients
Community Medicine Associates CurrentSince May 1, 2015 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Aug 1, 2010 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Aug 1, 2010 Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

333 N Santa Rosa
Fl 2
San Antonio, TX 78207
Phone (201) 704-0407

5107 Medical Dr
San Antonio, TX 78229
Phone (210) 614-8612

7703 Floyd Curl Dr
#7977
San Antonio, TX 78229
Phone (210) 292-0400

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: carisse.orsi.1@18380.direct.athenahealth.com

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1235313073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "address_2": "MC7977",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-257-1400",
            "fax_number": "210-450-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294801",
            "telephone_number": "210-614-8612",
            "fax_number": "210-615-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORSI",
        "first_name": "CARISSE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "TX",
            "license": "N5299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210133901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "210133902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSE",
            "last_name": "MENDOZA",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.