Active NPI
Serena Lawrence Cuellar, MD
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T7524
- Practice address
- 11130 Christus Hills
Medical Plaza 3, 3Rd FL
San Antonio, TX 78251-3585 - Phone
- (210) 703-9001
- Fax
- (210) 703-9155
- NPI assigned
- May 22, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10068874 | TX | |
| Family Medicine Physician | 207Q00000X | T7524 | TX | Primary |
Addresses
Primary practice location
11130 Christus Hills
Medical Plaza 3, 3Rd FL
San Antonio, TX 78251-3585
Mailing address
11130 Christus Hills
Medical Plaza 3, 3Rd FL
San Antonio, TX 78251-3585
Phone (210) 703-9001
Other names 1
- Serena Lawrence McGill
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
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11130 Christus HLS
San Antonio, TX 78251-3585
Phone (210) 228-0044
11212 State Hwy
151 Suite 230
San Antonio, TX 78251-4501
Phone (830) 643-7000
11212 State Hwy 151
Suite 230
San Antonio, TX 78251-4501
Phone (830) 643-7000
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Christus Santa Rosa Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Christus Santa Rosa Health Care Corporation | Past | Accepting new patients |
Locations
11130 Christus Hls
Fl 3
San Antonio, TX 78251
Phone (210) 703-9001
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- smcgill283385@christushealth.direct-ci.net
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1811554108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11130 CHRISTUS HILLS",
"address_2": "MEDICAL PLAZA 3, 3RD FL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782513585",
"telephone_number": "210-703-9001",
"fax_number": "210-703-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11130 CHRISTUS HILLS",
"address_2": "MEDICAL PLAZA 3, 3RD FL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782513585",
"telephone_number": "210-703-9001",
"fax_number": "210-703-9155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUELLAR",
"first_name": "SERENA",
"middle_name": "LAWRENCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10068874",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T7524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SERENA",
"last_name": "MCGILL",
"middle_name": "LAWRENCE",
"code": "1",
"type": "Former Name"
}
]
}
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 21, 2022; 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.