Active NPI
Michael Andre Harrell Jr., MD
- Retina Specialist (Ophthalmology) Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- U4814
- Practice address
- 701 S Zarzamora St
San Antonio, TX 78207-5209 - Phone
- (210) 358-7600
- NPI assigned
- Apr 7, 2014
- 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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 0101259144 | VA | |
| Ophthalmology Physician | 207W00000X | 260239 | MA | |
| Ophthalmology Physician | 207W00000X | U4814 | TX | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | U4814 | TX | Primary |
Addresses
Primary practice location
701 S Zarzamora St
San Antonio, TX 78207-5209
Mailing address
701 S Zarzamora St
San Antonio, TX 78207-5209
Phone (210) 358-7600
Other practice location 1
85 E Concord St Fl 8
Boston, MA 02118-2335
Phone (617) 817-3279
Other practice location 2
645 N Michigan Ave Ste 440
Chicago, IL 60611-5899
Phone (312) 503-3649
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Boston University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 S Zarzamora St
San Antonio, TX 78207-5209
Phone (210) 450-9000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 85 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101259144 | VA | MD | Military Health Care Provider |
| 260239 | MA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Internal Medicine | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Past | Accepting new patients |
Locations
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
8300 Floyd Curl Dr
Fl 7
San Antonio, TX 78229
Phone (210) 450-9060
8300 Floyd Curl Dr
Fl 6A
San Antonio, TX 78229
8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300
7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
701 S Zarzamora St
San Antonio, TX 78207
Phone (210) 358-7000
Interoperability endpoints
- mharrell39773@direct.utmsa.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UT Health Physicians
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
dba UTHSCSA Dental School
- Dental Clinic/Center
- San Antonio, TX
- NPI 1760424873
-
dba UTHSCSA Rehab Medicine
- Prosthetic/Orthotic Supplier
- San Antonio, TX
- NPI 1538224142
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Health
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1689092660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S ZARZAMORA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782075209",
"telephone_number": "210-358-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S ZARZAMORA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782075209",
"telephone_number": "210-358-7600"
}
],
"practiceLocations": [
{
"address_1": "85 E Concord St Fl 8",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182335",
"country_code": "US",
"telephone_number": "617-817-3279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "645 N Michigan Ave Ste 440",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606115899",
"country_code": "US",
"telephone_number": "312-503-3649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRELL",
"first_name": "MICHAEL",
"middle_name": "ANDRE",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-07",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "VA",
"license": "0101259144",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "260239",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "U4814",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "TX",
"license": "U4814",
"primary": true
}
],
"identifiers": [],
"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 Sep 18, 2023; 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.