Individual provider Active NPI

Mary Jane Gallardo Dunaway, CRNA

  • Certified Registered Nurse Anesthetist
  • San Antonio, TX
National Provider Identifier
1588036172
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP129523 Issued in TX
Practice address
7946 N Loop 1604 W
San Antonio, TX 78249-5174
Phone
(480) 381-1542
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP129523 TX Primary

Addresses

Primary practice location

7946 N Loop 1604 W
San Antonio, TX 78249-5174

Mailing address

7946 N Loop 1604 W
San Antonio, TX 78249-5174
Phone (480) 381-1542

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 567-4500

Other names 1

  • Miss Mary Jane Abayon Gallardo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215001488 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709795941 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians
MCH Professional Care Hospital BasedGroup PAC ID 1557535127, 81 clinicians

Practice addresses (Care Compare)

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 640-2401

Hospital & facility affiliations

  • Ut Health San Antonio Multispecialty & Research Ho Hospital, San Antonio, TX, CCN 670335

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
72.52
Improvement activities
40
Cost
81.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
MCH Professional Care Hospital Based CurrentSince Jul 1, 2021 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jan 6, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jan 6, 2024 Accepting new patients
Renaissance Medical Foundation Current Accepting new patients
McAllen Anesthesia Consultants, PA Current Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P.a. CurrentSince Apr 15, 2024 Accepting new patients
McAllen Anesthesia Consultants, PA CurrentSince Nov 16, 2015 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P .a. PastSince May 7, 2024 Accepting new patients
Clinical Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered PastSince Oct 16, 2022 Accepting new patients

Locations

5415 S McColl Rd
Edinburg, TX 78539
Phone (956) 661-0529

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

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

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

7946 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 567-9040

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1588036172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7946 N LOOP 1604 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782495174",
            "telephone_number": "480-381-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7946 N LOOP 1604 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782495174",
            "telephone_number": "480-381-1542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-567-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "MARY JANE",
        "middle_name": "GALLARDO",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP129523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JANE",
            "last_name": "GALLARDO",
            "middle_name": "ABAYON",
            "prefix": "MISS",
            "credential": "RN",
            "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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.