NPIMap

Individual provider Active NPI

Maria M Cabello-Canales, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1750381497
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G8028 Issued in TX
Practice address
7113 San Pedro Ave # 316
San Antonio, TX 78216-6219
Phone
(210) 745-0084
Fax
(210) 745-0139
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X G8028 TX
Family Medicine Physician 207Q00000X G8028 TX Primary

Addresses

Primary practice location

7113 San Pedro Ave # 316
San Antonio, TX 78216-6219

Mailing address

7113 San Pedro Ave
# 316
San Antonio, TX 78216-6219
Phone (210) 745-0084

Other identifiers 2

IdentifierTypeStateIssuer
102878903MedicaidTX
1028789-04MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070212000140 TX Practitioner - Family Practice 7810999406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians

Practice addresses (Care Compare)

16620 N US Hwy 281
Suite 300
San Antonio, TX 78232-2679

16620 San Pedro Ave
Suite 300
San Antonio, TX 78232-2679
Phone (210) 871-4701

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Progressive Health of America, PLLC Hospitalist CurrentSince Oct 21, 2022 Accepting new patients
Tamre B. McClelland MD PA Family Medicine Past Accepting new patients
Setters Medical Group PA Hospitalist Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine Past Accepting new patients

Locations

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231

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

Organizations & group practices 6

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 3

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1750381497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 SAN PEDRO AVE",
            "address_2": "# 316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166219",
            "telephone_number": "210-745-0084",
            "fax_number": "210-745-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7113 SAN PEDRO AVE # 316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166219",
            "telephone_number": "210-745-0084",
            "fax_number": "210-745-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABELLO-CANALES",
        "first_name": "MARIA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "G8028",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102878903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028789-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.