Individual provider Active NPI

Michael Ray Baillio II, DO

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1609496306
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T7859 Issued in TX
Practice address
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone
(832) 474-0601
NPI assigned
Apr 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T7859 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7703 Floyd Curl Dr
San Antonio, TX 78229-3901

Mailing address

2730 Morning Leaf CT
Spring, TX 77388-5421

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627001626 TX Practitioner - Emergency Medicine 6800275561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians

Practice addresses (Care Compare)

6200 W Parker Rd
Plano, TX 75093-8185
Phone (972) 981-8000

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Harris Methodist Hospital Cleburne Hospital, Cleburne, TX, CCN 450148
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T7859TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cec Alamo Heights ER Physicians PLLC CurrentSince Jun 27, 2022 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Nov 8, 2022 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
La Vernia Erl Acquisition Partners LLC PastSince Apr 1, 2025 Accepting new patients
Complete Emergency Care Southlake LLC Past Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

2750 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 782-8000

201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

3349 S Highway 181
Kenedy, TX 78119
Phone (830) 583-3401

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

6496 N New Braunfels Ave
San Antonio, TX 78209
Phone (210) 930-4500

Organizations & group practices 5

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 3

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1609496306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 MORNING LEAF CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773885421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "832-474-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILLIO",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T7859",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.