Individual provider Active NPI

Marc Aaron Saldivar, PA-C

  • Physician Assistant
  • Stephenville, TX
National Provider Identifier
1710233366
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07921 Issued in TX
Practice address
2275 W South Loop Ste 100
Stephenville, TX 76401-3968
Phone
(254) 459-7130
Fax
(254) 459-7148
NPI assigned
Aug 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX
Physician Assistant 363A00000X PA07921 TX Primary

Addresses

Primary practice location

2275 W South Loop Ste 100
Stephenville, TX 76401-3968

Mailing address

2275 W South Loop Ste 100
Stephenville, TX 76401-3968
Phone (254) 459-7130

Other identifiers 1

IdentifierTypeStateIssuer
1710233366MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130726000572 TX Practitioner - Physician Assistant 8921249384 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians

Practice addresses (Care Compare)

1308 E Paluxy Rd
Granbury, TX 76048-5655

1310 B Paluxy Rd
Granbury, TX 76048-5655

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 579-2963

1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805

2275 W S Loop
Stephenville, TX 76401-3968
Phone (254) 459-7130

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hood Medical Group Physician Assistant CurrentSince Feb 1, 2024 Accepting new patients
Questcare Medical Services, PLLC Physician Assistant CurrentSince Aug 1, 2013 Accepting new patients

Locations

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2275 W South Loop
Ste 100
Stephenville, TX 76401
Phone (254) 459-7130

Interoperability endpoints

  • Direct secure messaging: marc.saldivar.1@1293.direct.athenahealth.com

Organizations & group practices 5

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1710233366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 W SOUTH LOOP STE 100",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013968",
            "telephone_number": "254-459-7130",
            "fax_number": "254-459-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 W SOUTH LOOP STE 100",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013968",
            "telephone_number": "254-459-7130",
            "fax_number": "254-459-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDIVAR",
        "first_name": "MARC",
        "middle_name": "AARON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-01",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710233366",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

Verify at the official NPI Registry.