Jeferson Vasconcellos Maradei, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

PENDING Issued in TX

Practice address

23103 Ih 10 W Ste 111
San Antonio, TX 78257-1766

Phone

(210) 571-7546

NPI assigned

Nov 10, 2022

Last updated

Mar 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jefferson.maradei.1@19704.direct.athenahealth.com

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1922716794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 UMAR AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785041972",
            "telephone_number": "210-322-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23103 IH 10 W STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571766",
            "telephone_number": "210-571-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 Umar Ave",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785041972",
            "country_code": "US",
            "telephone_number": "210-322-6792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASCONCELLOS MARADEI",
        "first_name": "JEFERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "maradeijef@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "413 Umar Ave",
            "city": "McAllen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785041972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joyce Varughese
• Natasha Anne Varughese, MD
• Varuni H. Kumara, DPM, P.a.
• Allison Catherine Vasak, MD
• Rajiv Vasan, M.D.
• Jose Andres Vasconcellos, M.D.
• Vascular International, PLLC (Vascular International)
• Sridhar Vasireddy, MD
• Marisa M Vasquez Garcia, LPC
• Maria del Carmez Vasquez Sierra, LPC

• Plastic and Reconstructive Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.