NPIMap

Individual provider Active NPI

Mark F Colligan, MD

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1902998347
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
N1291 Issued in TX
Practice address
502 Madison Oak
Suite 310
San Antonio, TX 78258-4084
Phone
(210) 483-8883
Fax
(210) 494-1740
NPI assigned
Sep 29, 2006
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X N1291 TX Primary

Addresses

Primary practice location

502 Madison Oak
Suite 310
San Antonio, TX 78258-4084

Mailing address

502 Madison Oak
Suite 310
San Antonio, TX 78258-4084
Phone (210) 483-8883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090508000275 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951320043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

215 E Quincy St
San Antonio, TX 78215-2033
Phone (210) 223-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N1291TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince May 1, 2017 Accepting new patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince May 1, 2017 Accepting new patients
BHS Physicians Network, Inc CurrentSince May 17, 2010 Accepting new patients
BHS Physicians Network, Inc CurrentSince May 17, 2010 Accepting new patients

Locations

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

215 E Quincy St
San Antonio, TX 78215
Phone (210) 226-2001

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

502 Madison Oak Dr
Ste 310
San Antonio, TX 78258
Phone (210) 483-0888

8811 Village Dr
#114
San Antonio, TX 78217

Interoperability endpoints

  • Direct secure messaging: mark.colligan.1@1438.direct.athenahealth.com

Organizations & group practices 4

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 12

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1902998347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MADISON OAK",
            "address_2": "SUITE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584084",
            "telephone_number": "210-483-8883",
            "fax_number": "210-494-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MADISON OAK",
            "address_2": "SUITE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584084",
            "telephone_number": "210-483-8883",
            "fax_number": "210-494-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIGAN",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "N1291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.