Individual provider Active NPI

Marissa Valencia Ylagan, MD

  • Maternal & Fetal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1942266051
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
S0595 Issued in TX
Practice address
315 N San Saba Ste 930
San Antonio, TX 78207-3154
Phone
(210) 704-3200
NPI assigned
Apr 26, 2006
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X S0595 TX
Maternal & Fetal Medicine Physician 207VM0101X S0595 TX Primary

Addresses

Primary practice location

315 N San Saba Ste 930
San Antonio, TX 78207-3154

Mailing address

315 N San Saba Ste 1135
San Antonio, TX 78207-3255
Phone (210) 704-3342

Other practice location 1

502 Madison Oak Dr Ste 210
San Antonio, TX 78258-4192
Phone (210) 481-3000 ext. 21029

Other identifiers 1

IdentifierTypeStateIssuer
394520601MedicaidTX

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
I20190314002505 TX Practitioner - Obstetrics/Gynecology 2163423369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2002
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)

7950 Floyd Curl Dr
San Antonio, TX 78229-3919
Phone (210) 441-3081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S0595TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Aug 1, 2023 Accepting new patients
BHS Physicians Network, Inc Obstetrics & Gynecology CurrentSince Jan 9, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jan 9, 2024 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Christus Santa Rosa Health Care Corporation PastSince Aug 1, 2023 Accepting new patients

Locations

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7950 Floyd Curl Dr
Ste 904
San Antonio, TX 78229
Phone (210) 616-0798

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

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

315 N San Saba
Ste 930
San Antonio, TX 78207
Phone (210) 704-3200

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

7950 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 441-3081

502 Madison Oak Dr
Ste 210
San Antonio, TX 78258
Phone (210) 481-3000

Interoperability endpoints

  • Direct secure messaging: marissa.ylagan.1@1438.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1942266051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA STE 1135",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073255",
            "telephone_number": "210-704-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA STE 930",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073154",
            "telephone_number": "210-704-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Madison Oak Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584192",
            "country_code": "US",
            "telephone_number": "210-481-3000 x21029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YLAGAN",
        "first_name": "MARISSA",
        "middle_name": "VALENCIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S0595",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "S0595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394520601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.