Individual provider Active NPI

Mariel Lozano, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1386107464
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T4206 Issued in TX
Practice address
4318 Moonlight Way
San Antonio, TX 78230-5000
Phone
(210) 558-8878
Fax
(210) 558-9389
NPI assigned
Apr 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T4206 TX Primary

Addresses

Primary practice location

4318 Moonlight Way
San Antonio, TX 78230-5000

Mailing address

4318 Moonlight Way
San Antonio, TX 78230-5000
Phone (210) 558-8878

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
I20230928000387 TX Practitioner - Family Practice 4385098102 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians

Practice addresses (Care Compare)

16620 San Pedro Ave
Suite 300
San Antonio, TX 78232-2679
Phone (210) 871-4701

Hospital & facility affiliations

  • Coronado at Stone Oak Nursing home, San Antonio, TX, CCN 676353
  • Trucare Living Centers - Selma Nursing home, Selma, TX, CCN 676406
  • Avir at Heritage Nursing home, San Antonio, TX, CCN 675858
  • Sage Park San Antonio Nursing home, San Antonio, TX, CCN 675542

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Inpatient Progressive Health of America, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Juan Carlos Garza MD PA Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Progressive Surgical Associates PLLC PastSince May 28, 2023 Accepting new patients
Hamilton County Hospital District Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4318 Moonlight Way
San Antonio, TX 78230
Phone (210) 558-8878

16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231

16620 San Pedro Ave
San Antonio, TX 78232
Phone (210) 309-1405

Organizations & group practices 6

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 4

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": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1386107464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 MOONLIGHT WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305000",
            "telephone_number": "210-558-8878",
            "fax_number": "210-558-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 MOONLIGHT WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305000",
            "telephone_number": "210-558-8878",
            "fax_number": "210-558-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "MARIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T4206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.