Individual provider Active NPI

Michael W Mann, M.D.

  • Family Medicine Physician
  • Bulverde, TX
National Provider Identifier
1316985583
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6561 Issued in TX
Practice address
32665 US Highway 281 N
Bulverde, TX 78163-3124
Phone
(830) 980-9686
Fax
(830) 438-3423
NPI assigned
Jun 2, 2006
Last updated
Jan 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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 J6561 TX Primary

Addresses

Primary practice location

32665 US Highway 281 N
Bulverde, TX 78163-3124

Mailing address

32665 US Highway 281 N
Bulverde, TX 78163-3124
Phone (830) 980-9686

Other identifiers 3

IdentifierTypeStateIssuer
100188503MedicaidTX
P00415648OtherTXPALMETTO GBA RAILROAD MED
100188504MedicaidTX

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
I20060928000466 TX Practitioner - Family Practice 9133039365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

32665 US Hwy 281 N
Suite 208
Bulverde, TX 78163-3256
Phone (830) 980-9686

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6561TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael W Mann MD PA Family Medicine CurrentSince Jan 1, 2007 Accepting new patients
Alamo City Medical Group, PLLC Family Medicine Past Accepting new patients
Riverwalk Clinic, LLC Family Medicine Past Accepting new patients
Jeffrey M Locke, LCSW, PLLC Past Accepting new patients

Locations

32665 US Highway 281 N
Bulverde, TX 78163
Phone (830) 356-1247

32665 US Highway 281 N
Ste 208
Bulverde, TX 78163
Phone (317) 544-9445

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1316985583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32665 US HIGHWAY 281 N",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781633124",
            "telephone_number": "830-980-9686",
            "fax_number": "830-438-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32665 US HIGHWAY 281 N",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781633124",
            "telephone_number": "830-980-9686",
            "fax_number": "830-438-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100188503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "P00415648",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100188504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bulverde, TX

Sources for this page

Verify at the official NPI Registry.