Individual provider Active NPI

Adolph Mares Jr., MD

  • Cardiovascular Disease Physician
  • Harker Heights, TX
National Provider Identifier
1730180290
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H7323 Issued in TX
Practice address
800 W Central Texas Expy
Ste. 355
Harker Heights, TX 76548-1899
Phone
(254) 526-2085
Fax
(254) 526-9569
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 H7323 TX Primary

Addresses

Primary practice location

800 W Central Texas Expy
Ste. 355
Harker Heights, TX 76548-1899

Mailing address

PO Box 402669
Atlanta, GA 30384-2669
Phone (512) 206-4300

Other identifiers 2

IdentifierTypeStateIssuer
1358335-10MedicaidTX
1358335-01MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amares4169@epiccwdv.hcadirect.net

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
I20100819000442 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7911031497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Baylor College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

3801 N Lamar Blvd
300 Heart Hospital
Austin, TX 78756-4080
Phone (512) 206-3600

Hospital & facility affiliations

  • Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080
  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC Cardiovascular Disease CurrentSince Jan 1, 2001 Accepting new patients
HH Killeen Health System LLC Cardiovascular Disease CurrentSince May 29, 2013 Accepting new patients

Locations

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

800 W Central Texas Expy
Ste 355
Harker Heights, TX 76548
Phone (254) 526-2085

110 Mountain Lion Rd
Ste A
Harker Heights, TX 76548
Phone (254) 618-4900

Interoperability endpoints

  • Direct secure messaging: 2561-mares-adolph@direct.leadingreach.com

Organizations & group practices 2

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1730180290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402669",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842669",
            "telephone_number": "512-206-4300",
            "fax_number": "512-206-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL TEXAS EXPY",
            "address_2": "STE. 355",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481899",
            "telephone_number": "254-526-2085",
            "fax_number": "254-526-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARES",
        "first_name": "ADOLPH",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H7323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358335-10",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358335-01",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amares4169@epiccwdv.hcadirect.net",
            "affiliation": "N",
            "address_1": "800 W Central Texas Expy",
            "address_2": "STE. 355",
            "city": "Harker Heights",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765481899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.