Individual provider Active NPI

Demetrios N Macris, M.D.

  • Vascular Surgery Physician
  • San Antonio, TX
National Provider Identifier
1801892930
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
J2667 Issued in TX
Practice address
718 Lexington Avenue, Suite 102
San Antonio, TX 78212-4678
Phone
(210) 420-8671
Fax
(210) 899-1958
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X J2667 TX
Vascular Surgery Physician 2086S0129X J2667 TX Primary

Addresses

Primary practice location

718 Lexington Avenue, Suite 102
San Antonio, TX 78212-4678

Mailing address

718 Lexington Ave Ste 102
San Antonio, TX 78212-4790
Phone (210) 420-8671

Other practice location 1

610 N Main Ave
San Antonio, TX 78205-1204
Phone (210) 420-8671

Other identifiers 1

IdentifierTypeStateIssuer
102130501MedicaidTX

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
I20101214000082 TX Practitioner - Vascular Surgery 6204747330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Emory University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Cardiac and Vascular Specialists PAGroup PAC ID 8022473586, 7 clinicians

Practice addresses (Care Compare)

718 Lexington Ave
Suite 102
San Antonio, TX 78212-4790
Phone (210) 420-8671

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2667TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Cardiac and Vascular Specialists PA Vascular Surgery CurrentSince Jun 1, 2023 Accepting new patients
ASC Solutions, LLC PastSince Jun 9, 2024 Accepting new patients
Varicose Vein Clinic - Northwest, P.a. Vascular Surgery Past Accepting new patients

Locations

1975 N Veterans Blvd
Ste 6
Eagle Pass, TX 78852
Phone (830) 758-1633

104 Turner Ln
Floresville, TX 78114
Phone (210) 226-2001

1901 E State Highway 97
Ste 110
Jourdanton, TX 78026
Phone (210) 541-4884

610 N Main Ave
Fl 2
San Antonio, TX 78205
Phone (210) 237-4492

610 N Main Ave
Fl Second
San Antonio, TX 78205

718 Lexington Ave
Ste 102
San Antonio, TX 78212
Phone (210) 420-8641

718 Lexington Ave
Ste 101
San Antonio, TX 78212
Phone (210) 742-8712

1730 SW Military Dr
Ste 110
San Antonio, TX 78221
Phone (210) 924-3278

610 N Main Ave
San Antonio, TX 78205

1038 Garner Field Rd
#B
Uvalde, TX 78801
Phone (210) 614-0402

2700 Citizens Plz
Ste 303
Victoria, TX 77901
Phone (361) 579-1341

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAFCDD

Organizations & group practices 3

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 1

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1801892930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 LEXINGTON AVE STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124790",
            "telephone_number": "210-420-8671",
            "fax_number": "210-899-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 LEXINGTON AVENUE, SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124678",
            "telephone_number": "210-420-8671",
            "fax_number": "210-899-1958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Main Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782051204",
            "country_code": "US",
            "telephone_number": "210-420-8671",
            "fax_number": "210-899-1958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACRIS",
        "first_name": "DEMETRIOS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J2667",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "J2667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102130501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.