Individual provider Active NPI

Juan M Padilla Maiz, M.D.

  • Neurological Surgery Physician
  • San Antonio, TX
National Provider Identifier
1770571416
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
M8896 Issued in TX
Practice address
2829 Babcock Rd Ste 106
San Antonio, TX 78229-6009
Phone
(210) 951-9055
Fax
(210) 951-9066
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X M8896 TX Primary

Addresses

Primary practice location

2829 Babcock Rd Ste 106
San Antonio, TX 78229-6009

Mailing address

2829 Babcock Rd Ste 106
San Antonio, TX 78229-6009
Phone (102) 951-9055

Other practice location 1

1305 Wonder World Dr Ste 100
San Marcos, TX 78666-7502
Phone (210) 951-9055

Other practice location 2

2829 Babcock Rd Ste 109
San Antonio, TX 78229-6009
Phone (210) 951-9055

Other practice location 3

189 E Austin St Ste 101
New Braunfels, TX 78130-4170
Phone (210) 951-9055

Other practice location 4

11212 State Highway 151
Medical Plaza 1, Ste. 260
San Antonio, TX 78251
Phone (210) 951-9055

Other identifiers 1

IdentifierTypeStateIssuer
199859302MedicaidTX

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
I20081112000236 TX Practitioner - Neurosurgery 4880675388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Puerto Rico School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

555 Creekside Xing
New Braunfels, TX 78130-2594
Phone (830) 500-6000

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 643-5166

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion58
Laminectomy or laminotomy (partial removal of spine bones)42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12283PRMDRegistered Nurse
M8896TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TN Spine PLLC Neurological Surgery CurrentSince Jan 1, 2023 Accepting new patients
Christus Trinity Clinic Texas Neurological Surgery CurrentSince Aug 1, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2024 Accepting new patients
Neuro Radio Surgery Group Past Accepting new patients

Locations

189 E Austin St
Ste 101
New Braunfels, TX 78130
Phone (830) 629-0002

598 N Union Ave
Ste 100
New Braunfels, TX 78130

2829 Babcock Rd
Ste 106
San Antonio, TX 78229
Phone 210951905555522

2829 Babcock Rd
Ste 109
San Antonio, TX 78229

11212 State Highway 151
Ste 260
San Antonio, TX 78251
Phone (210) 504-4304

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: juan.padilla.1@12711.direct.athenahealth.com
  • Direct secure messaging: jpadilla347047@christushealth.direct-ci.net

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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1770571416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296009",
            "telephone_number": "102-951-9055",
            "fax_number": "956-630-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 BABCOCK RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296009",
            "telephone_number": "210-951-9055",
            "fax_number": "210-951-9066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Wonder World Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667502",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2829 Babcock Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782296009",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 E Austin St Ste 101",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781304170",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11212 State Highway 151",
            "address_2": "Medical Plaza 1, Ste. 260",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78251",
            "country_code": "US",
            "telephone_number": "210-951-9055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA MAIZ",
        "first_name": "JUAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "M8896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199859302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.