Active NPI
Carolina Cielak, P.A.
- Physician Assistant
- San Antonio, TX
National Provider Identifier
1558654939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07130
- Practice address
- 1715 McCullough Ave FL 2
San Antonio, TX 78212-4046 - Phone
- (210) 732-3668
- Fax
- (210) 732-3338
- NPI assigned
- May 18, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA07130 | TX | Primary |
Addresses
Primary practice location
1715 McCullough Ave FL 2
San Antonio, TX 78212-4046
Mailing address
1715 McCullough Ave FL 2
San Antonio, TX 78212-4046
Phone (210) 732-3668
Other names 1
- Carolina Alejandro
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
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1715 McCullough Ave
FL 2
San Antonio, TX 78212-4046
Phone (210) 732-3668
4330 Medical Dr
Suite 500
San Antonio, TX 78229-3318
Phone (210) 558-0122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA07130 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- carolina.cielak@wellmed.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
dba WellMed Cardiology
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1386948677
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1558654939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 MCCULLOUGH AVE FL 2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124046",
"telephone_number": "210-732-3668",
"fax_number": "210-732-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 MCCULLOUGH AVE FL 2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124046",
"telephone_number": "210-732-3668",
"fax_number": "210-732-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIELAK",
"first_name": "CAROLINA",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-18",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINA",
"last_name": "ALEJANDRO",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 14, 2021; 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.