Michael Patrick Vaughn, M.D.PHD.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

H7242 Issued in TX

Practice address

115 Gallery Cir
Ste 200
San Antonio, TX 78258-3388

Phone

(210) 499-0033

Fax

(210) 404-0926

NPI assigned

Aug 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Allergy/Immunology

Education

West Virginia University School of Medicine, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

23.69 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

78.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Anna H. Heisser, MD, PA

  • VA Clinic/Center
  • San Antonio, TX
  • NPI 1891969655

  Allergy & Immunology

  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1881687879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GALLERY CIRCLE STE. 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583492",
            "telephone_number": "210-499-0033",
            "fax_number": "210-404-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GALLERY CIR",
            "address_2": "STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583388",
            "telephone_number": "210-499-0033",
            "fax_number": "210-404-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "H7242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133677801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167435001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Vaughn
• Hannah Leslie Vaughn, FNP
• Kayla Vaughn
• Kileigh Beth Vaughn
• Leilani Aurora Vaughn
• Michael Shannon Vaughn, LCSW, ADC III
• Rebecca Lynn Vaughn, LCSW
• Robert Vaughn
• Taeylor Loree Vaughn, RBT
• Toyia Vaughn, CTRS

• Allergy & Immunology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.

Verify at the official NPI Registry.