Individual provider Active NPI

Alcides Baltasar Cairus, M.D.

  • Surgery Physician
  • San Marcos, TX
National Provider Identifier
1780797886
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G2660 Issued in TX
Practice address
1340 Wonder World Drive
Suite 4301
San Marcos, TX 78666-7695
Phone
(512) 353-6400
Fax
(512) 353-6424
NPI assigned
Aug 16, 2006
Last updated
Nov 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G2660 TX Primary

Addresses

Primary practice location

1340 Wonder World Drive
Suite 4301
San Marcos, TX 78666-7695

Mailing address

1340 Wonder World Drive
Suite 4301
San Marcos, TX 78666-7695
Phone (512) 353-6400

Other identifiers 2

IdentifierTypeStateIssuer
128063804MedicaidTX
83K041OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G2660TXMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: acairus725391@directa.mercy.net

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1780797886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DRIVE",
            "address_2": "SUITE 4301",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667695",
            "telephone_number": "512-353-6400",
            "fax_number": "512-353-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DRIVE",
            "address_2": "SUITE 4301",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667695",
            "telephone_number": "512-353-6400",
            "fax_number": "512-353-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIRUS",
        "first_name": "ALCIDES",
        "middle_name": "BALTASAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G2660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128063804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83K041",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.