Active NPI
Joseph a Marotta MD PA
- Internal Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J8310
- Legal business name
- JOSEPH A MAROTTA MD PA
- Practice address
- 1200 Brooklyn Ave
Suite 310
San Antonio, TX 78212-4803 - Phone
- (210) 475-0605
- Fax
- (210) 475-9500
- NPI assigned
- Jun 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Andrew Marotta, MD
- Title
- President
- Phone
- (210) 475-0605
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J8310 | TX | Primary |
Addresses
Primary practice location
1200 Brooklyn Ave
Suite 310
San Antonio, TX 78212-4803
Mailing address
1200 Brooklyn Ave
Suite 310
San Antonio, TX 78212-4803
Phone (210) 475-0605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195706001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0922985 | Joseph Marotta MD | Certificate of waiver | Feb 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
1200 Brooklyn Ave
Ste 170
San Antonio, TX 78212
Phone (210) 212-4501
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1750332656
-
- Physician Assistant
- San Antonio, TX
- NPI 1578839593
-
- Physician Assistant
- New Braunfels, TX
- NPI 1386086429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225756800000",
"number": "1669634192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BROOKLYN AVE",
"address_2": "SUITE 310",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124803",
"telephone_number": "210-475-0605",
"fax_number": "210-475-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BROOKLYN AVE",
"address_2": "SUITE 310",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124803",
"telephone_number": "210-475-0605",
"fax_number": "210-475-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH A MAROTTA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-26",
"last_updated": "2008-11-04",
"status": "A",
"authorized_official_last_name": "MAROTTA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-475-0605",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "J8310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "195706001",
"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 Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.