Individual provider Active NPI

Mauro Ortiz, MD

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1699747790
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L0472 Issued in TX
Practice address
4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone
(210) 614-5400
Fax
(210) 614-2413
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L0472 TX Primary

Addresses

Primary practice location

4411 Medical Dr Ste 300
San Antonio, TX 78229-3824

Mailing address

4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone (210) 614-5400

Other practice location 1

134 Menger Spgs Ste 1370
Boerne, TX 78006-7228
Phone (830) 331-8000

Other practice location 2

1051 US Highway 90 E
Castroville, TX 78009-5210
Phone (210) 614-5400

Other identifiers 4

IdentifierTypeStateIssuer
8CM512OtherTXBCBS
TXB112458OtherTXMEDICARE
096380307MedicaidTX
P00898261OtherTXRAILROAD MEDICARE

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
I20040409000061 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Emergency Medicine 7416941828 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Medical Branch at Galveston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians

Practice addresses (Care Compare)

4411 Medical Dr
Suite 300
San Antonio, TX 78229-3824
Phone (210) 614-5400

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0472TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Clinic of San Antonio, PLLC Cardiovascular Disease CurrentSince Sep 1, 2010 Accepting new patients
Legacy Heart Care of San Antonio Cardiovascular Disease Current Accepting new patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince Jan 1, 2015 Accepting new patients
VHS San Antonio Partners, LLC CurrentSince Feb 15, 2005 Accepting new patients
VHS San Antonio Partners LLC Cardiovascular Disease CurrentSince Feb 15, 2005 Accepting new patients
Imed Healthcare Associates, PLLC Past Accepting new patients
Methodist Medical Group, PLLC Cardiovascular Disease Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Past Accepting new patients

Locations

134 Menger Spgs
Ste 1370
Boerne, TX 78006
Phone (830) 331-8000

1051 US Highway 90 E
Castroville, TX 78009
Phone (830) 931-3336

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

615 Soledad St
Ste 300
San Antonio, TX 78205

4458 Medical Dr
Ste 640
San Antonio, TX 78229
Phone (702) 659-5604

Interoperability endpoints

  • Direct secure messaging: 3210-ortiz-mauro@direct.leadingreach.com
  • Direct secure messaging: mauro.ortiz@hca7.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699747790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Menger Spgs Ste 1370",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780067228",
            "country_code": "US",
            "telephone_number": "830-331-8000",
            "fax_number": "830-331-8004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 US Highway 90 E",
            "address_purpose": "LOCATION",
            "city": "Castroville",
            "state": "TX",
            "postal_code": "780095210",
            "country_code": "US",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MAURO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L0472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CM512",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB112458",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096380307",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00898261",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.