Individual provider Active NPI

Mary Riley Parker, MD

  • Phlebology Physician
  • San Antonio, TX
National Provider Identifier
1861506032
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
H8308 Issued in TX
Practice address
19016 Stone Oak Pkwy Ste 180
San Antonio, TX 78258-3281
Phone
(210) 504-4304
Fax
(210) 504-4303
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X H8308 TX
Gynecology Physician 207VG0400X H8308 TX
Phlebology Physician 202K00000X H8308 TX Primary

Addresses

Primary practice location

19016 Stone Oak Pkwy Ste 180
San Antonio, TX 78258-3281

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472

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
I20190801003322 TX Practitioner - Vascular Surgery 2668495193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Texas Medical School at Houston, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

19016 Stone Oak Pkwy
Suite 180
San Antonio, TX 78258-3281
Phone (866) 552-4866

Merit-based Incentive Payment System (MIPS)

Final score
70.97 of 100Reported as group
Quality
43.69
Promoting interoperability
91
Improvement activities
40
Cost
67.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H8308TXMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Partners PLLC CurrentSince Jun 1, 2019 Accepting new patients
Interventional Partners PLLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

2150 N Josey Ln
Carrollton, TX 75006
Phone (972) 242-0660

8135 Forest Ln
Dallas, TX 75230
Phone (469) 850-5760

5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161

19016 Stone Oak Pkwy
Ste 180
San Antonio, TX 78258
Phone (210) 490-4661

251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440

Interoperability endpoints

  • Direct secure messaging: mary.parker.1@2477.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1861506032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19016 STONE OAK PKWY STE 180",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583281",
            "telephone_number": "210-504-4304",
            "fax_number": "210-504-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARY",
        "middle_name": "RILEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "H8308",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "H8308",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "TX",
            "license": "H8308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.