Individual provider Active NPI

Gerald Thomas Mayer, M.D.

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1669415642
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J3154 Issued in TX
Practice address
13022 Jones Maltsberger Rd
San Antonio, TX 78247-4219
Phone
(210) 491-0772
Fax
(210) 481-2769
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X J3154 TX
Pediatrics Physician 208000000X J3154 TX Primary

Addresses

Primary practice location

13022 Jones Maltsberger Rd
San Antonio, TX 78247-4219

Mailing address

13022 Jones Maltsberger Rd
San Antonio, TX 78247-4219
Phone (210) 491-0772

Other practice location 1

20821 US Highway 281 N Ste 324
San Antonio, TX 78258-7597
Phone (210) 998-4758

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
I20060619000170 TX Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 8123030954 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J3154TXMDPediatric Emergency Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Inpatient Pediatrics, PA Pediatrics CurrentSince Jun 23, 2025 Accepting new patients
Acs Primary Care Physicians Southwest, PA CurrentSince Dec 1, 2006 Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients
Little Spurs Pediatric Urgent Care, PLLC Pediatrics Past Accepting new patients
Methodist Healthcare System of San Antonio LTD LLP Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients

Locations

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

19223 Stonehue
San Antonio, TX 78258
Phone (210) 490-5911

13022 Jones Maltsberger Rd
San Antonio, TX 78247
Phone (210) 491-0772

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1669415642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13022 JONES MALTSBERGER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474219",
            "telephone_number": "210-491-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13022 JONES MALTSBERGER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474219",
            "telephone_number": "210-491-0772",
            "fax_number": "210-481-2769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20821 US Highway 281 N Ste 324",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782587597",
            "country_code": "US",
            "telephone_number": "210-998-4758",
            "fax_number": "210-314-5044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "GERALD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "TX",
            "license": "J3154",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J3154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.