Individual provider Active NPI

Marianne J Pinkston, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1699756387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9871 Issued in TX
Practice address
4499 Medical Dr
Ste 170
San Antonio, TX 78229-3735
Phone
(210) 615-7911
Fax
(210) 615-0585
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K9871 TX Primary

Addresses

Primary practice location

4499 Medical Dr
Ste 170
San Antonio, TX 78229-3735

Mailing address

PO Box 29425
San Antonio, TX 78229-0425
Phone (210) 615-0533

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
I20150204001103 TX Practitioner - Family Practice 9739160821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1997
Medicare assignment
May accept Medicare assignment
Group practices
MP MD PAGroup PAC ID 0547697849, 2 clinicians

Practice addresses (Care Compare)

10865 Shaenfield Rd
Suite 1101
San Antonio, TX 78254-9617
Phone (210) 698-7825

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinkston Family Practice Current Accepting new patients
MP MD PA Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Rise Up Home Healthcare Past Accepting new patients

Locations

10865 Shaenfield Rd
Ste 1101
San Antonio, TX 78254
Phone (210) 688-7735

4499 Medical Dr
Ste 170
San Antonio, TX 78229
Phone (210) 575-8289

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699756387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29425",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782290425",
            "telephone_number": "210-615-0533",
            "fax_number": "210-615-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "STE 170",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293735",
            "telephone_number": "210-615-7911",
            "fax_number": "210-615-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "MARIANNE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.