Individual provider Active NPI

Michelle Marie Meza, M.D.

  • Neonatal-Perinatal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1477603322
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
M6765 Issued in TX
Practice address
5414 Fredericksburg Rd
Suite 100
San Antonio, TX 78229-3641
Phone
(210) 541-8281
Fax
(210) 541-9123
NPI assigned
Jan 11, 2007
Last updated
Feb 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 226892 NY
Neonatal-Perinatal Medicine Physician 2080N0001X M6765 TX Primary

Addresses

Primary practice location

5414 Fredericksburg Rd
Suite 100
San Antonio, TX 78229-3641

Mailing address

5414 Fredericksburg Rd
Suite 100
San Antonio, TX 78229-3641
Phone (210) 541-8281

Other identifiers 1

IdentifierTypeStateIssuer
185538905MedicaidTX

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
I20110908001736 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 4082884788 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226892NYMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. Neonatal-Perinatal Medicine CurrentSince Aug 1, 2013 Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients
Resolute Hospital Company, LLC Past Accepting new patients

Locations

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-8100

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

5106 W Loop 1604 N
San Antonio, TX 78251
Phone (210) 575-0355

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

5414 Fredericksburg Rd
Ste 100
San Antonio, TX 78229
Phone 2105418281 ext. 221

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1477603322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 FREDERICKSBURG RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293641",
            "telephone_number": "210-541-8281",
            "fax_number": "210-541-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 FREDERICKSBURG RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293641",
            "telephone_number": "210-541-8281",
            "fax_number": "210-541-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "226892",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "M6765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185538905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.