Individual provider Active NPI

Mary Grace Gloria, PA-C

  • Surgical Physician Assistant
  • Kyle, TX
National Provider Identifier
1629316930
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA08310 Issued in TX
Practice address
4215 Benner Ste 300
Kyle, TX 78640-2224
Phone
(512) 439-1000
NPI assigned
Jan 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA08310 TX Primary

Addresses

Primary practice location

4215 Benner Ste 300
Kyle, TX 78640-2224

Mailing address

4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000

Other practice location 1

2224 Walsh Tarlton Ln Ste 200
Austin, TX 78746-7756
Phone (512) 439-1000

Other practice location 2

3755 S Capital Of Texas Hwy Ste 160
Austin, TX 78704-6645
Phone (512) 439-1000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130408000015 TX Practitioner - Physician Assistant 9830334283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

2224 Walsh Tarlton LN
Suite 200
Austin, TX 78746-7756
Phone (512) 439-1000

3755 S Capital of Texas Hwy
Suite 130
Austin, TX 78704-6623
Phone (512) 439-1000

3755 S Capital of Texas Hwy
Suite 160
Austin, TX 78704-6645
Phone (512) 439-1000

3800 Gaylord Pkwy
Suite 710
Frisco, TX 75034-9635
Phone (214) 220-2468

4215 Benner
Suite 300
Kyle, TX 78640-2224
Phone (512) 439-1000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince Oct 23, 2023 Accepting new patients
Ortholonestar, PLLC CurrentSince Oct 23, 2023 Accepting new patients
Seton Family of Doctors CurrentSince Apr 1, 2014 Accepting new patients
Ortholonestar, PLLC Past Accepting new patients
Tri-County Clinical Past Accepting new patients

Locations

3755 S Capital of Texas Hwy
Ste 130
Austin, TX 78704
Phone (512) 439-1005

3755 S Capital of Texas Hwy
Ste 160
Austin, TX 78704
Phone (512) 439-1005

4700 Seton Center Pkwy
Ste 200
Austin, TX 78759
Phone (512) 439-1011

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

4215 Benner
Ste 300
Kyle, TX 78640
Phone (512) 439-1007

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

101 Medical Pkwy
Ste 120
Lakeway, TX 78738

Interoperability endpoints

  • Direct secure messaging: mary.gloria.1@15533.direct.athenahealth.com

Organizations & group practices 6

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": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1629316930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 BENNER STE 300",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402224",
            "telephone_number": "512-439-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2224 Walsh Tarlton Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787467756",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3755 S Capital Of Texas Hwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787046645",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLORIA",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA08310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.