Active NPI
Patrick W Mulroy, MD
- Physical Medicine & Rehabilitation Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- J8327
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8K1189 | Other | TX | BCBS |
| 127473005 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
5101 Medical Dr
San Antonio, TX 78229-4801
Phone (210) 626-0100
Hospital & facility affiliations
- Atex Home Healthcare
- Warm Springs Rehab Hospital of San Antonio LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8327 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pam Physician Enterprise | Physical Medicine & Rehabilitation | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Fargo, ND
- NPI 1962856161
Physical Medicine & Rehabilitation, TX
-
- Rehabilitation Hospital
- Dover, DE
- NPI 1295221372
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- San Antonio, TX
- NPI 1376588228
Inpatient rehabilitation facility
-
- Home Health Agency
- San Antonio, TX
- NPI 1639650021
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.