Individual provider Active NPI

Patrick W Mulroy, MD

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
National Provider Identifier
1821086471
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J8327 Issued in TX
Practice address
8601 Village Dr
Ste 118
San Antonio, TX 78217-5509
Phone
(210) 222-2606
Fax
(210) 222-8410
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X J8327 TX Primary

Addresses

Primary practice location

8601 Village Dr
Ste 118
San Antonio, TX 78217-5509

Mailing address

8601 Village Dr
Ste 118
San Antonio, TX 78217-5509
Phone (210) 222-2606

Other identifiers 2

IdentifierTypeStateIssuer
8K1189OtherTXBCBS
127473005MedicaidTX

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
I20040617001735 TX Practitioner - Physical Medicine and Rehabilitation 8325022072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Eastern Virginia Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pam Physician Enterprise 34 clinicians

Practice addresses (Care Compare)

5101 Medical Dr
San Antonio, TX 78229-4801
Phone (210) 626-0100

Hospital & facility affiliations

  • Atex Home Healthcare Home health agency, San Antonio, TX, CCN 679395
  • Warm Springs Rehab Hospital of San Antonio LLC Inpatient rehabilitation facility, San Antonio, TX, CCN 453035

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8327TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pam Physician Enterprise Physical Medicine & Rehabilitation CurrentSince Jan 1, 2021 Accepting new patients
Pam Squared at Dover LLC Past Accepting new patients

Locations

14747 Jones Maltsberger Rd
San Antonio, TX 78247
Phone (210) 402-0029

5101 Medical Dr
San Antonio, TX 78229
Phone (210) 592-5438

10323 State Highway 151
San Antonio, TX 78251
Phone (210) 581-5306

Organizations & group practices 2

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 2

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1821086471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR",
            "address_2": "STE 118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-222-2606",
            "fax_number": "210-222-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR",
            "address_2": "STE 118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-222-2606",
            "fax_number": "210-222-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULROY",
        "first_name": "PATRICK",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J8327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K1189",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127473005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.