Individual provider Active NPI

Mario Benjamin Fernandez, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1326204744
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
N7256 Issued in TX
Practice address
11212 State Highway 151
San Antonio, TX 78251-4498
Phone
(210) 703-8501
NPI assigned
Aug 5, 2008
Last updated
Jan 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X N7256 TX Primary

Addresses

Primary practice location

11212 State Highway 151
San Antonio, TX 78251-4498

Mailing address

11212 State Highway 151
San Antonio, TX 78251-4498

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
I20101116000290 TX Practitioner - Emergency Medicine 9133314156 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7256TXMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Carenow Urgent Care PLLC CurrentSince Aug 1, 2023 Accepting new patients
Victoria Emergency Partners LLC CurrentSince May 1, 2017 Accepting new patients
Essential Med Clinic Past Accepting new patients
St. David's Carenow Urgent Care PLLC Past Accepting new patients

Locations

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

13909 Nacogdoches Rd
Ste 111
San Antonio, TX 78217
Phone (210) 655-0100

20780 US Highway 281 N
San Antonio, TX 78258
Phone (210) 963-8445

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

4130 S New Braunfels Ave
Ste 112
San Antonio, TX 78223
Phone (210) 290-9537

9234 N Loop 1604 W
Ste 110
San Antonio, TX 78249
Phone (210) 257-0736

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20373/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1326204744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498",
            "telephone_number": "210-703-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARIO",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "N7256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.