Individual provider Active NPI

Arthur Mandy III, NP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1508146531
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP124069 Issued in TX
Practice address
1202 E Sonterra Blvd Ste 201
San Antonio, TX 78258
Phone
(210) 963-7393
Fax
(210) 963-8510
NPI assigned
Aug 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP124069 TX Primary

Addresses

Primary practice location

1202 E Sonterra Blvd Ste 201
San Antonio, TX 78258

Mailing address

1202 E Sonterra Blvd Ste 201
San Antonio, TX 78258-4842
Phone (210) 963-7393

Other practice location 1

1209 N Miller Rd
Buckeye, AZ 85326-1043
Phone (623) 386-5785

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
I20140110000584 TX Practitioner - Nurse Practitioner 5092988501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

601 Leah Ave
Suite a
San Marcos, TX 78666-7849
Phone (512) 396-1000

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP124069TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Mar 29, 2024 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Mar 29, 2024 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Northwest Austin One Medical Group, PLLC Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

1202 E Sonterra Blvd
Ste 201
San Antonio, TX 78258
Phone (210) 654-4066

601 Leah Ave
#A
San Marcos, TX 78666
Phone (512) 396-1000

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: arthur.mandy.1@8042.direct.athenahealth.com

Organizations & group practices 5

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1508146531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584842",
            "telephone_number": "210-963-7393",
            "fax_number": "210-963-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-963-7393",
            "fax_number": "210-963-8510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 N Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853261043",
            "country_code": "US",
            "telephone_number": "623-386-5785",
            "fax_number": "623-386-6673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDY",
        "first_name": "ARTHUR",
        "name_suffix": "III",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.