Ana V. Mancuso, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R5805 Issued in TX

Practice address

6511 US Highway 181 N
Floresville, TX 78114

Phone

(830) 393-1400

Fax

(830) 393-1749

NPI assigned

Jul 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ana V. Salazar Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Wilson County Memorial Hospital District

  • General Acute Care Hospital
  • Floresville, TX
  • NPI 1871599829
  Medicare reassignment NPD
• Wilson County Memorial Hospital District

  • Rural Health Clinic/Center
  • Floresville, TX
  • NPI 1417498585
  NPD
• Wilson County Memorial Hospital District

  • Home Health Agency
  • Floresville, TX
  • NPI 1306849153
  NPD (past)
• Wilson County Memorial Hospital District

  • Rural Health Clinic/Center
  • Floresville, TX
  • NPI 1659812725
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1558745729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 US HIGHWAY 181 N",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "78114",
            "telephone_number": "830-393-1400",
            "fax_number": "830-393-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 US HIGHWAY 181 N",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "78114",
            "telephone_number": "830-393-1400",
            "fax_number": "830-393-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "ANA",
        "middle_name": "V.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R5805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "3859852-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3859852-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "SALAZAR",
            "middle_name": "V.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Nicole Laskowski, FNP-C
• Joung Woo Lee, D.M.D.
• Randall Wayne Lerich, DDS
• Gina Martin Lowery, LMSW
• Phaidra Reese Malcher, DPT, PT
• William Bert Marshall Jr., LAT
• Jonathan Edward Martinez, RPH.
• Paul Adrian Martinez, PHARM.D.
• Sherry Kay Martinez, LCSW
• Lauren N Massey Williams, DMD

• Pediatrics Physician in Floresville, TX
• Providers in Floresville, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.