Individual provider Active NPI

Mary Jo Katherine Hull, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1356326938
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M2779 Issued in TX
Practice address
4330 Medical Dr Ste 500
San Antonio, TX 78229-3318
Phone
(210) 558-0122
Fax
(210) 558-0120
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35351 WI
Cardiovascular Disease Physician 207RC0000X M2779 TX Primary

Addresses

Primary practice location

4330 Medical Dr Ste 500
San Antonio, TX 78229-3318

Mailing address

4330 Medical Dr Ste 500
San Antonio, TX 78229-3318
Phone (210) 558-0122

Other names 1

  • Dr. Mary Jo Katherine Rohrer Former name

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
I20110726000129 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8123296753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Uniformed Services Uhs Fe Hebert School of Med, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Networks, Inc.Group PAC ID 6002091261, 116 clinicians

Practice addresses (Care Compare)

8715 Village Dr
San Antonio, TX 78217-5407
Phone (210) 558-0122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35351WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Networks, Inc. Cardiovascular Disease CurrentSince Oct 10, 2013 Accepting new patients

Locations

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

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

8715 Village Dr
Ste 400
San Antonio, TX 78217
Phone (210) 558-0122

Interoperability endpoints

  • Direct secure messaging: maryjo.hull@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.

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1356326938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 MEDICAL DR STE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293318",
            "telephone_number": "210-558-0122",
            "fax_number": "210-558-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 MEDICAL DR STE 500",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293318",
            "telephone_number": "210-558-0122",
            "fax_number": "210-558-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "MARY JO",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "35351",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M2779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JO",
            "last_name": "ROHRER",
            "middle_name": "KATHERINE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.