Individual provider Active NPI

Cristina Angela Metildi, M.D

  • Pediatric Surgery Physician
  • San Antonio, TX
National Provider Identifier
1801092085
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
W2445 Issued in TX
Practice address
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone
(210) 704-2011
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 60273 AZ
Pediatric Surgery Physician 2086S0120X 2015014074 MO
Pediatric Surgery Physician 2086S0120X 17167 NV
Pediatric Surgery Physician 2086S0120X W2445 TX Primary
Pediatric Surgery Physician 2086S0120X A106474 CA
Pediatric Surgery Physician 2086S0120X 95924 SC

Addresses

Primary practice location

333 N Santa Rosa
San Antonio, TX 78207-3108

Mailing address

5166 E Glenn St
Tucson, AZ 85712-1337
Phone (520) 795-5338

Other practice location 1

653 N Town Center Dr Ste 412
Las Vegas, NV 89144-0518
Phone (702) 233-8101

Other practice location 2

5166 E Glenn St
Tucson, AZ 85712-1337
Phone (520) 795-5338

Other practice location 3

9 Richland Medical Park Dr Ste 500
Columbia, SC 29203-6870
Phone (803) 344-4555

Other practice location 4

UCSD Medical Center Dept Of Gen Surgery
200 West Arbor Dr
San Diego, CA 92103
Phone (619) 543-1849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200303001896 AZ Practitioner - General SurgeryPractitioner - Pediatric Medicine 1254633795 Reassigns benefits to 3 organizations
I20260130003386 TX Practitioner - General Surgery 1254633795 Reassigns benefits to 1 organization
I20260310003084 SC Practitioner - Pediatric Medicine 1254633795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 E McBee Ave
FL 4
Greenville, SC 29601-2842

300 E McBee Ave
Suite 300
Greenville, SC 29601-2899

3601 4TH St
Lubbock, TX 79430-0001

7993 N Pima Village CT
Tucson, AZ 85718-7868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17167NVMDPharmacist
60273AZMDPediatric Surgery Physician
A106474CAMDPediatric Surgery Physician
95924SCMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Surgery CurrentSince Apr 3, 2026 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Apr 3, 2026 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Dec 15, 2025 Accepting new patients
Arizona Pediatric Surgery LTD CurrentSince Feb 16, 2020 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Surgery CurrentSince Jan 1, 2026 Accepting new patients
TMC Medical Network CurrentSince Mar 1, 2020 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Dec 15, 2025 Accepting new patients
Children's Clinics for Rehabilitative Services CurrentSince Jul 16, 2020 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jan 1, 2026 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
Tucson Medical Center Past Accepting new patients

Locations

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

5310 W Thunderbird Rd
Ste 310
Glendale, AZ 85306
Phone (602) 865-4470

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1710 N Mastick Way
Nogales, AZ 85621

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

10390 N La Canada Dr
Ste 110
Tucson, AZ 85737
Phone (520) 420-2110

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5166 E Glenn St
Tucson, AZ 85712
Phone (520) 795-5338

10350 E Drexel Rd
Unit 110
Tucson, AZ 85747
Phone (520) 324-1727

9 Richland Medical Park Dr
Ste 500
Columbia, SC 29203
Phone (803) 344-4555

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1801092085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5166 E GLENN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121337",
            "telephone_number": "520-795-5338",
            "fax_number": "520-795-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 N Town Center Dr Ste 412",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891440518",
            "country_code": "US",
            "telephone_number": "702-233-8101",
            "fax_number": "702-242-0726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5166 E Glenn St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857121337",
            "country_code": "US",
            "telephone_number": "520-795-5338",
            "fax_number": "520-795-5382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Richland Medical Park Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036870",
            "country_code": "US",
            "telephone_number": "803-344-4555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "UCSD Medical Center Dept Of Gen Surgery",
            "address_2": "200 West Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92103",
            "country_code": "US",
            "telephone_number": "619-543-1849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METILDI",
        "first_name": "CRISTINA",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "AZ",
            "license": "60273",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MO",
            "license": "2015014074",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NV",
            "license": "17167",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "W2445",
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "A106474",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "SC",
            "license": "95924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.