Individual provider Active NPI

Maria Angelica Cantu-Cooper, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1528300332
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R8536 Issued in TX
Practice address
1911 Rogers Rd
San Antonio, TX 78251-4614
Phone
(210) 523-9933
Fax
(210) 647-0242
NPI assigned
Mar 19, 2013
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R8536 TX Primary
Hospitalist Physician 208M00000X R8536 TX
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X R8536 TX

Addresses

Primary practice location

1911 Rogers Rd
San Antonio, TX 78251-4614

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (561) 570-5172

Other identifiers 2

IdentifierTypeStateIssuer
387236801MedicaidTX
387236802OtherTXCSHCN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria.cantucooper@conviva.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180821002051 TX Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric MedicinePractitioner - Hospitalist 5698039352 Reassigns benefits to 2 organizations
I20250722001291 NJ Practitioner - Geriatric Medicine 5698039352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8536TXMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Aug 13, 2018 Accepting new patients
Centerwell Senior Primary Care (SC) PC Internal Medicine CurrentSince Dec 5, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Aug 13, 2018 Accepting new patients
Valley Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
University of Texas Health Science Center at San Antonio Internal Medicine Current Accepting new patients
Conviva Medical Center Management of Texas, P.a. Internal Medicine CurrentSince Dec 5, 2022 Accepting new patients
Prospect Medical Office, LLC Past Accepting new patients
Prospect Medical Office, LLC Internal Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

1911 Rogers Rd
San Antonio, TX 78251
Phone (210) 523-9933

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Interoperability endpoints

  • Direct secure messaging: maria.cantu-cooper.1@5622.direct.athenahealth.com
  • Direct secure messaging: maria.cantucooper@conviva.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1528300332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "561-570-5172",
            "fax_number": "786-472-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 ROGERS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514614",
            "telephone_number": "210-523-9933",
            "fax_number": "210-647-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU-COOPER",
        "first_name": "MARIA",
        "middle_name": "ANGELICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R8536",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R8536",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "R8536",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387236801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "387236802",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria.cantucooper@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1911 Rogers Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782514614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.