Individual provider Active NPI

Maria-Gisela Mercado-Deane, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1851319057
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K9129 Issued in TX
Practice address
333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone
(210) 704-2467
Fax
(903) 617-5247
NPI assigned
Jul 17, 2006
Last updated
Feb 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 35-086062 OH
Diagnostic Radiology Physician 2085R0202X K9129 TX Primary

Addresses

Primary practice location

333 N Santa Rosa St
San Antonio, TX 78207-3108

Mailing address

PO Box 12507
San Antonio, TX 78212-0507
Phone (210) 704-2467

Other identifiers 9

IdentifierTypeStateIssuer
3810011339OtherWVWV MEDICAID
000000203281OtherOHUNISON
000000503628OtherOHANTHEM
363834OtherOHWELLCARE
1851319057OtherOHMI MEDICAID
733544OtherOHBUCKEYE
0304914OtherOHBCMH
4305312OtherOHAETNA
2573693MedicaidOH

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
I20081125000343 TX Practitioner - Diagnostic Radiology 6608806617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River City Imaging Centers LLCGroup PAC ID 0749681385, 4 clinicians
River City Imaging Associates PAGroup PAC ID 0244415081, 22 clinicians
GMG Health Systems Associates PAGroup PAC ID 8123932647, 115 clinicians

Practice addresses (Care Compare)

1750 E Common St
Suite 1101
New Braunfels, TX 78130-6869
Phone (830) 302-4355

333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone (210) 704-2011

720 Pleasanton Rd
San Antonio, TX 78214-1306
Phone (210) 921-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17065LAMDPharmacist
35-086062OHMDPediatric Radiology Physician
K9129TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GMG Health Systems Associates PA CurrentSince Mar 1, 2018 Accepting new patients
River City Imaging Associates PA Diagnostic Radiology CurrentSince Apr 1, 2011 Accepting new patients
Austin Radiological Association Past Accepting new patients
University Imaging Inc Pediatric Radiology Past Accepting new patients
University Radiologists of Cleveland Inc Pediatric Radiology Past Accepting new patients
Breast Care Specialists of Oklahoma, LLC Diagnostic Radiology Past Accepting new patients

Locations

1750 E Common St
Ste 1101
New Braunfels, TX 78130
Phone (830) 302-4355

1770 State Highway 46 W
Ste 1107
New Braunfels, TX 78132
Phone (830) 302-4355

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

720 Pleasanton Rd
San Antonio, TX 78214

7219 Culebra Rd
San Antonio, TX 78251
Phone (210) 509-2603

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1851319057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12507",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782120507",
            "telephone_number": "210-704-2467",
            "fax_number": "903-617-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-2467",
            "fax_number": "903-617-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO-DEANE",
        "first_name": "MARIA-GISELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "OH",
            "license": "35-086062",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K9129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICAID",
            "identifier": "3810011339",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000203281",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000503628",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "363834",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI MEDICAID",
            "identifier": "1851319057",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "733544",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH",
            "identifier": "0304914",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4305312",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2573693",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.