Active NPI
Malvin Coleman Driver Jr., M.D.
- Retina Specialist (Ophthalmology) Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 52609
- Practice address
- 2191 NW Military Hwy
San Antonio, TX 78213-1836 - Phone
- (210) 348-8788
- Fax
- (210) 348-8768
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | E7897 | TX | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | E7897 | TX | |
| Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician | 207WX0108X | E7897 | TX | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 52609 | KY | Primary |
Addresses
Primary practice location
2191 NW Military Hwy
San Antonio, TX 78213-1836
Mailing address
2191 NW Military Hwy
San Antonio, TX 78213-1836
Phone (210) 348-8788
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300025897 | Medicaid | IN | |
| 127822810 | Medicaid | TX | |
| 7100593500 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040802001544 | TX | Practitioner - Ophthalmology | 0446221634 | Reassigns benefits to 1 organization |
| I20201104001249 | ME | Practitioner - Ophthalmology | 0446221634 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- College of Physicians and Surgeons (Arkansas), 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cec LLCShah Eye Center PA
Practice addresses (Care Compare)
128 Bucksport Rd
Suite B
Ellsworth, ME 04605-2239
Phone (207) 667-6300
1506 E Griffin Pkwy
Mission, TX 78572-2425
Phone (956) 583-0202
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.54 of 100
- Quality
- 98.87
- Improvement activities
- 40
- Cost
- 43.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52609 | KY | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shah Eye Center, P.a. | Ophthalmology | Current | Accepting new patients |
| Cec, LLC | Ophthalmology | Current | Accepting new patients |
| Coastal Eye Care, P.a. | Ophthalmology | Current | Accepting new patients |
| Austin Retina Associates PLLC | Ophthalmology | Past | Accepting new patients |
| Craig M. Morgan, MD, Inc | Past | Accepting new patients | |
| Alan D Smith MD PA | Ophthalmology | Past | Accepting new patients |
| Austin Retina Associates PLLC | Ophthalmology | Past | Accepting new patients |
| M Coleman Driver Jr MD PA | Ophthalmology | Past | Accepting new patients |
| Bryan N Angle MD PA | Ophthalmology | Past | Accepting new patients |
Locations
128 Bucksport Rd
#B
Ellsworth, ME 04605
Phone (207) 667-6300
1506 E Griffin Pkwy
Mission, TX 78572
Phone (956) 583-0202
Interoperability endpoints
- mdriver@directaddress.net
- mdriver@shaheye.intellechartdirect.net
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1609800127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 NW MILITARY HWY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131836",
"telephone_number": "210-348-8788",
"fax_number": "210-348-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 NW MILITARY HWY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131836",
"telephone_number": "210-348-8788",
"fax_number": "210-348-8768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIVER",
"first_name": "MALVIN",
"middle_name": "COLEMAN",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "E7897",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "TX",
"license": "E7897",
"primary": false
},
{
"code": "207WX0108X",
"taxonomy_group": "",
"desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
"state": "TX",
"license": "E7897",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "KY",
"license": "52609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300025897",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127822810",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100593500",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 5, 2019; 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.