Individual provider Active NPI

Mark Alan Prange, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1871607820
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
H2696 Issued in TX
Practice address
5007 E Beverly Mae Dr
San Antonio, TX 78229-4940
Phone
(210) 417-3341
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X H2696 TX Primary

Addresses

Primary practice location

5007 E Beverly Mae Dr
San Antonio, TX 78229-4940

Mailing address

5007 E Beverly Mae Dr
San Antonio, TX 78229-4939
Phone (210) 417-3341

Other practice location 1

630 W Woodlawn Ave
San Antonio, TX 78212-3348
Phone (210) 417-3341

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
I20150218000320 TX Practitioner - Internal Medicine 4981866829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services TX PLLCGroup PAC ID 6507173291, 103 clinicians
Curana Health Medical Group LLCGroup PAC ID 9133304603, 132 clinicians

Practice addresses (Care Compare)

2802 Flintrock Trce
Suite 201
Austin, TX 78738-1744
Phone (337) 991-9276

4401 Spicewood Springs Rd
Austin, TX 78759-8682
Phone (512) 730-3053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2696TXMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services TX PLLC CurrentSince Jun 16, 2023 Accepting new patients
Curana Health Medical Group LLC CurrentSince Aug 23, 2014 Accepting new patients
The Seraphic Sisters, Inc. Past Accepting new patients

Locations

8911 N Capital of Texas Hwy
Austin, TX 78759
Phone (512) 843-7843

2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

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": "1521244800000",
    "number": "1871607820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 E BEVERLY MAE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294939",
            "telephone_number": "210-417-3341",
            "fax_number": "210-568-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 E BEVERLY MAE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294940",
            "telephone_number": "210-417-3341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 W Woodlawn Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782123348",
            "country_code": "US",
            "telephone_number": "210-417-3341",
            "fax_number": "210-568-4942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRANGE",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "H2696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.