Active NPI
Arthur Mandy III, NP
- Family Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP124069
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP124069 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Gulf Coast PLLC | Current | Accepting new patients | |
| Privia Medical Group Gulf Coast, PLLC | Current | 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
- 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.
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-
- Interventional Pain Medicine Physician
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- NPI 1457167033
-
- Primary Care Clinic/Center
- Tomball, TX
- NPI 1790451961
-
- Neurology Physician
- Phoenix, AZ
- NPI 1245876705
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.