Individual provider Active NPI

Craig Czelusta, PA-C

  • Medical Physician Assistant
  • New Braunfels, TX
National Provider Identifier
1457767527
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10327 Issued in TX
Practice address
1761 Highway 46 W # 104
New Braunfels, TX 78132-4750
Phone
(830) 433-7816
NPI assigned
Jul 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004661 VA
Medical Physician Assistant 363AM0700X PA10327 TX Primary

Addresses

Primary practice location

1761 Highway 46 W # 104
New Braunfels, TX 78132-4750

Mailing address

649 Riverside Dr
New Braunfels, TX 78130-3635
Phone (210) 262-3182

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
I20151229001614 TX Practitioner - Physician Assistant 3173742962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guadalupe Regional Medical GroupGroup PAC ID 6800077694, 38 clinicians
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

1215 E Court St
Seguin, TX 78155-5129
Phone (830) 401-7558

1761 S State Hwy 46
Suite 104
New Braunfels, TX 78130-2237
Phone (830) 401-7558

1922 State Hwy 46 W
New Braunfels, TX 78132-5245
Phone (830) 632-5092

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

958N Interstate 35
New Braunfels, TX 78130-3731
Phone (830) 606-5533

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
68.71
Promoting interoperability
98
Improvement activities
40
Cost
69.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110004661VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group, PLLC Current Accepting new patients
TMC Provider Group PLLC CurrentSince Oct 16, 2023 Accepting new patients
TMC Provider Group PLLC CurrentSince Oct 16, 2023 Accepting new patients
Guadalupe Regional Medical Group CurrentSince Nov 13, 2023 Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

1761 State Highway 46 S
Ste 104
New Braunfels, TX 78130
Phone (830) 401-7558

8465 Memorial Blvd
Ste 300
Port Arthur, TX 77640
Phone (409) 344-4220

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

Interoperability endpoints

  • Direct secure messaging: craig.czelusta.1@27064.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27064/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 3

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1457767527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 RIVERSIDE DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303635",
            "telephone_number": "210-262-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 HIGHWAY 46 W # 104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781324750",
            "telephone_number": "830-433-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZELUSTA",
        "first_name": "CRAIG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004661",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.