Active NPI
Matthew Arismendez, PA-C
- Physician Assistant
- San Antonio, TX
National Provider Identifier
1346646510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA09452
- Practice address
- 3338 Oakwell CT
San Antonio, TX 78218-3086 - Phone
- (210) 644-4350
- Fax
- (210) 702-6978
- NPI assigned
- Nov 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA09452 | TX | Primary |
Addresses
Primary practice location
3338 Oakwell CT
San Antonio, TX 78218-3086
Mailing address
3338 Oakwell CT
San Antonio, TX 78218-3086
Phone (210) 644-4350
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 741833622 | Other | TX | GROUP TAX ID# |
| 00295N | Other | TX | MEDICARE GRP# |
| 1346646510 | Other | TX | INDIVIDUAL NPI# |
| PA09452 | Other | TX | PHYSICIAN ASSISTANT LICENSE # |
| 193200000X | Other | TX | GROUP TAXONOMY |
| PA09452 | Other | TX | PHYSICIAN ASSISTANT LICENSE |
| 1508813494 | Other | TX | GROUP/BILLING NPI# |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marbach_ma@kellummedical.com | Health Information Exchange (HIE) | |
| CONNECT URL | https://www.kellummedicalgroup.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3338 Oakwell CT
San Antonio, TX 78218-3086
Phone (210) 644-4350
903 W Martin St
Ms 49 2
San Antonio, TX 78207-3110
Phone (210) 358-3441
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA09452 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kellum Physician Partners, PA | Past | Accepting new patients | |
| Wellmed Medical Group, PA | Past | Accepting new patients |
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.
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- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
-
- Obstetrics & Gynecology Physician
- San Antonio, TX
- NPI 1073880092
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1346646510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3338 OAKWELL CT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782183086",
"telephone_number": "210-644-4350",
"fax_number": "210-702-6978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3338 OAKWELL CT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782183086",
"telephone_number": "210-644-4350",
"fax_number": "210-702-6978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARISMENDEZ",
"first_name": "MATTHEW",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-14",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID#",
"identifier": "741833622",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GRP#",
"identifier": "00295N",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI#",
"identifier": "1346646510",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT LICENSE #",
"identifier": "PA09452",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAXONOMY",
"identifier": "193200000X",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT LICENSE",
"identifier": "PA09452",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP/BILLING NPI#",
"identifier": "1508813494",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marbach_ma@kellummedical.com",
"affiliation": "N",
"endpointDescription": "Main Clinic / Patient Information / Medical Records",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF",
"address_1": "7323 Marbach Rd Ste 104",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782271905",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.kellummedicalgroup.com",
"affiliation": "N",
"endpointDescription": "Practice Website/Patient Portal",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Practice Website/Patient Portal",
"address_1": "7323 Marbach Rd Ste 104",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782271905",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.