Active NPI
Michael Anthony Cardenas, MD
- Surgery Physician
- San Antonio, TX
National Provider Identifier
1649200809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G4890
- Practice address
- 8042 Wurzbach Rd
Ste 310
San Antonio, TX 78229-3818 - Phone
- (210) 614-5113
- Fax
- (210) 616-0024
- NPI assigned
- Jul 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G4890 | TX | |
| Surgery Physician | 208600000X | G4890 | TX | Primary |
Addresses
Primary practice location
8042 Wurzbach Rd
Ste 310
San Antonio, TX 78229-3818
Mailing address
8122 Datapoint Dr
Ste 320
San Antonio, TX 78229-3264
Phone (210) 614-5113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118147101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4890 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1649200809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8122 DATAPOINT DR",
"address_2": "STE 320",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293264",
"telephone_number": "210-614-5113",
"fax_number": "210-616-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8042 WURZBACH RD",
"address_2": "STE 310",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293818",
"telephone_number": "210-614-5113",
"fax_number": "210-616-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "G4890",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "G4890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118147101",
"state": "TX"
}
],
"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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.