Aleli Casino Masajo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P3769 Issued in TX

Practice address

2148 Jackson Keller Rd
San Antonio, TX 78213-2722

Phone

(210) 501-0703

Fax

(210) 526-0334

NPI assigned

May 14, 2008

Last updated

Dec 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Magella Medical Associates Billing, Inc.

  dba Magella Medical Associates

  • Neonatal-Perinatal Medicine Physician
  • Round Rock, TX
  • NPI 1083631071
  Medicare reassignment NPD
• Victoria Emergency Partners LLC

  • Emergency Medicine Physician
  • Gonzales, TX
  • NPI 1164770996
  Medicare reassignment NPD
• Firefly Pediatrics, PLLC

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1952727109
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1396912762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 JACKSON KELLER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132722",
            "telephone_number": "210-501-0703",
            "fax_number": "210-526-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 JACKSON KELLER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132722",
            "telephone_number": "210-501-0703",
            "fax_number": "210-526-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASAJO",
        "first_name": "ALELI",
        "middle_name": "CASINO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P3769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314373702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary K. George, M.D., P.a.
• Mary L. Wagner LLC
• Mary Z Ponce (Alevio Counseling & Evaluations)
• Marzec Eye Care Inc
• Anna Marzec, OD
• Leila Mariano Masalihit
• Carmen Mascarenhas, M.D.
• Neil Mascarenhas
• Andrew Domenic Masciarella, MD, MBA
• Justin Robert Mascitelli, M.D.

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.