Active NPI
Demetrios N Macris, M.D.
- Vascular Surgery Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- J2667
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102130501 | Medicaid | TX |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2667 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Cardiac and Vascular Specialists PA | Vascular Surgery | Current | Accepting new patients |
| ASC Solutions, LLC | Past | 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
- 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.
-
- Vascular Surgery Physician
- San Antonio, TX
- NPI 1447953351
-
dba Lexington Surgery Center
- Ambulatory Surgical Clinic/Center
- San Antonio, TX
- NPI 1124860648
-
- Vascular Surgery Physician
- San Antonio, TX
- NPI 1154545986
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.