Individual provider Active NPI

Matthew Arismendez, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1346646510
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09452 Issued in TX
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

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
741833622OtherTXGROUP TAX ID#
00295NOtherTXMEDICARE GRP#
1346646510OtherTXINDIVIDUAL NPI#
PA09452OtherTXPHYSICIAN ASSISTANT LICENSE #
193200000XOtherTXGROUP TAXONOMY
PA09452OtherTXPHYSICIAN ASSISTANT LICENSE
1508813494OtherTXGROUP/BILLING NPI#

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150129002344 TX Practitioner - Physician Assistant 5698099208 Reassigns benefits to 1 organization

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
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians

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

LicenseStateTypeSpecialty
PA09452TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.