Individual provider Active NPI

Abel Miranda, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1336390491
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06010 Issued in TX
Practice address
10622 State Highway 151 Ste 208
San Antonio, TX 78251-4864
Phone
(210) 674-6130
Fax
(210) 674-0990
NPI assigned
Oct 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA06010 TX Primary

Addresses

Primary practice location

10622 State Highway 151 Ste 208
San Antonio, TX 78251-4864

Mailing address

10622 State Highway 151 Ste 208
San Antonio, TX 78251-4864
Phone (210) 674-6130

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090205000707 TX Practitioner - Physician Assistant 0840354817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

7500 Barlite Blvd
Suite 201
San Antonio, TX 78224-1361
Phone (210) 921-3939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA06010TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Jul 31, 2020 Accepting new patients

Locations

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

4203 E Southcross Blvd
San Antonio, TX 78222

7355 Barlite Blvd
Ste 301
San Antonio, TX 78224

7355 Barlite Blvd
Ste 504
San Antonio, TX 78224
Phone (210) 922-5556

10622 State Highway 151
Ste 208
San Antonio, TX 78251
Phone (210) 674-6130

7500 Barlite Blvd
Ste 201
San Antonio, TX 78224
Phone (210) 921-3939

740 S Alamo St
San Antonio, TX 78205
Phone (210) 224-7688

Interoperability endpoints

  • Direct secure messaging: abel.miranda@wellmed.eclinicaldirectplus.com

Organizations & group practices 1

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1336390491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10622 STATE HIGHWAY 151 STE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514864",
            "telephone_number": "210-674-6130",
            "fax_number": "210-674-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10622 STATE HIGHWAY 151 STE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514864",
            "telephone_number": "210-674-6130",
            "fax_number": "210-674-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ABEL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.