Individual provider Active NPI

Ariel Benites Campa

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1457067472
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16438 Issued in TX
Practice address
7122 Stonewall HL
San Antonio, TX 78256-1926
Phone
(210) 404-9696
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 PA16438 TX Primary

Addresses

Primary practice location

7122 Stonewall HL
San Antonio, TX 78256-1926

Mailing address

5602 Spring Night St
San Antonio, TX 78247-1945
Phone (210) 863-0023

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
I20230208001051 TX Practitioner - Physician Assistant 8022480631 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ep Ted Williams MD PAGroup PAC ID 2567990179, 10 clinicians

Practice addresses (Care Compare)

7122 Stonewall HL
San Antonio, TX 78256-1926
Phone (210) 404-9696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16438TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alavie Interventional Pain Management, PLLC CurrentSince Feb 15, 2023 Accepting new patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients

Locations

12315 Judson Rd
Ste 118
Live Oak, TX 78233
Phone (210) 655-7271

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1457067472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 SPRING NIGHT ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471945",
            "telephone_number": "210-863-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7122 STONEWALL HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561926",
            "telephone_number": "210-404-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPA",
        "first_name": "ARIEL",
        "middle_name": "BENITES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.