Active NPI
Margaret A Kelley, M.D.
- Specialist
- San Antonio, TX
National Provider Identifier
1932197910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- L0324
- Practice address
- 4115 E Southcross Blvd
Suite 102
San Antonio, TX 78222-3729 - Phone
- (210) 333-0532
- Fax
- (210) 333-2292
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L0324 | TX | Primary |
Addresses
Primary practice location
4115 E Southcross Blvd
Suite 102
San Antonio, TX 78222-3729
Mailing address
4115 E Southcross Blvd
Suite 102
San Antonio, TX 78222-3729
Phone (210) 333-0532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150344301 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4115 E Southcross Blvd
Suite 102
San Antonio, TX 78222-3729
Phone (210) 333-0532
Hospital & facility affiliations
- Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients |
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.
-
- Specialist
- San Antonio, TX
- NPI 1518082684
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1932197910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 E SOUTHCROSS BLVD",
"address_2": "SUITE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782223729",
"telephone_number": "210-333-0532",
"fax_number": "210-333-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 E SOUTHCROSS BLVD",
"address_2": "SUITE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782223729",
"telephone_number": "210-333-0532",
"fax_number": "210-333-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "MARGARET",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "L0324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150344301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.