Active NPI
Joel Russel Maust, M.D.
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1801833314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J6570
- Practice address
- 3310 Oakwell CT Apt 16304
San Antonio, TX 78218-3980 - Phone
- (214) 282-6594
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J6570 | TX | Primary |
Addresses
Primary practice location
3310 Oakwell CT Apt 16304
San Antonio, TX 78218-3980
Mailing address
3310 Oakwell CT Apt 16304
San Antonio, TX 78218-3980
Phone (214) 282-6594
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00U61E | Other | TX | MEDICARE GROUP NUMBER |
| 155581501 | Medicaid | TX | |
| 155581503 | Other | TX | MEDICAID OTHER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| J6570 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald P. Giometti Jr., M.D. P.a. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- joel.maust.1@17062.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Carrollton, TX
- NPI 1164607693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1801833314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 OAKWELL CT APT 16304",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782183980",
"telephone_number": "214-282-6594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 OAKWELL CT APT 16304",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782183980",
"telephone_number": "214-282-6594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUST",
"first_name": "JOEL",
"middle_name": "RUSSEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J6570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "00U61E",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155581501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID OTHER",
"identifier": "155581503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Kristen L Maurer
- Maurice Shaner II (Amb -Trans Ambulance)
- Joyce Valerie Rose Mauricio, RN,BSN
- Maximiliano Mauricio
- Daniela Patricia Mauriz
- Maverick County Hospital District (San Antonio West Nursing and Rehabilitation)
- Amy L Maverick, MD
- Kenneth J Maverick, M.D.
- Isabella Mavigliano
- Meher Sindhoora Mavuram, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.