Individual provider Active NPI

Kristi D Ortiz, PA

  • Physician Assistant
  • Spring, TX
National Provider Identifier
1578636726
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02582 Issued in TX
Practice address
1222 Berwick Manor CT
Spring, TX 77379-3046
Phone
(832) 654-0453
Fax
(281) 430-4350
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02582 TX Primary

Addresses

Primary practice location

1222 Berwick Manor CT
Spring, TX 77379-3046

Mailing address

1222 Berwick Manor CT
Spring, TX 77379-3046
Phone (832) 654-0453

Other names 1

  • Kristi D Brandon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040105000723 TX Practitioner - Physician Assistant 9537068929 Reassigns benefits to 2 organizations
I20251028003496 OK Practitioner - Physician Assistant 9537068929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians

Practice addresses (Care Compare)

1111 SE Military Dr
San Antonio, TX 78214-2801
Phone (210) 927-5580

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

2530 SW Military Dr
San Antonio, TX 78224-1020
Phone (210) 476-5599

323 N Loop 1604
San Antonio, TX 78232-1016
Phone (210) 549-5893

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200

7460N Interstate 35
San Antonio, TX 78218-2700
Phone (210) 655-5529

8341 Agora Pkwy
Selma, TX 78154-1316
Phone (210) 659-5533

958N Interstate 35
New Braunfels, TX 78130-3731
Phone (830) 606-5533

9885W Interstate 10
San Antonio, TX 78230-2245
Phone (210) 696-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5743OKMDDentist
PA02582TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Sep 1, 2025 Accepting new patients
Ies ER Oklahoma LLC CurrentSince Oct 1, 2025 Accepting new patients
TMC Provider Group PLLC CurrentSince Sep 1, 2025 Accepting new patients
Sadler Clinic Association Past Accepting new patients
Singleton Associates PA Physician Assistant Past Accepting new patients
Brazos Emergency Physicians, PA Past Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients

Locations

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

Organizations & group practices 9

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1578636726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 BERWICK MANOR CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793046",
            "telephone_number": "832-654-0453",
            "fax_number": "281-430-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 BERWICK MANOR CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793046",
            "telephone_number": "832-654-0453",
            "fax_number": "281-430-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "KRISTI",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "BRANDON",
            "middle_name": "D",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.