Individual provider Active NPI

Marisel Beatriz Tindall, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1366449001
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2167 Issued in TX
Practice address
700 S Zarzamora St Lowr Level
San Antonio, TX 78207-5255
Phone
(210) 543-7200
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L2167 TX Primary

Addresses

Primary practice location

700 S Zarzamora St Lowr Level
San Antonio, TX 78207-5255

Mailing address

3711 Owl CRK
San Antonio, TX 78257-4450
Phone (210) 315-4056

Other identifiers 1

IdentifierTypeStateIssuer
1871966135MedicaidTX

Other names 1

  • Dr. Marisel Cancel-Mendez 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
I20101026001208 TX Practitioner - Internal Medicine 2567655244 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life Choices Medical Clinic Internal Medicine CurrentSince Apr 20, 2025 Accepting new patients
Wellmed Networks, Inc. CurrentSince Jun 25, 2012 Accepting new patients
Life Choices Medical Clinic CurrentSince Oct 9, 2022 Accepting new patients
Community Medicine Associates Internal Medicine PastSince Mar 22, 2020 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

700 S Zarzamora St
Lowr
San Antonio, TX 78207
Phone (210) 543-7200

3234 Northwestern
San Antonio, TX 78238
Phone (210) 543-7200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16198/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marisel.tindall.1@16198.direct.athenahealth.com
  • Direct secure messaging: marisel.cancelmendez@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1366449001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 OWL CRK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782574450",
            "telephone_number": "210-315-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S ZARZAMORA ST LOWR LEVEL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075255",
            "telephone_number": "210-543-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "MARISEL",
        "middle_name": "BEATRIZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871966135",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISEL",
            "last_name": "CANCEL-MENDEZ",
            "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.