Metro North Cardiovascular Associates, P.a

Primary specialty

SpecialistTaxonomy code 174400000X

License

H9639 Issued in TX

Legal business name

METRO NORTH CARDIOVASCULAR ASSOCIATES, P.A

Practice address

1003 NE Loop 410
San Antonio, TX 78209-1205

Phone

(210) 654-6000

Fax

(210) 654-6014

NPI assigned

Jul 19, 2007

Last updated

Dec 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Peggy Sue Garoutte

Title

Administrator

Phone

(210) 654-6000

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHJBBD

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paula Julia Cantu, FNP-C

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1457203218
  Medicare reassignment Care Compare group NPD
• Trent J Fackelman, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1407466410
  Medicare reassignment Care Compare group NPD
• Max Gerald Garoutte, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1235135344
  Medicare reassignment Care Compare group NPD
• Alberta Balasingh, FNP

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1669923082
  NPD (past)
• Rebecca Vincent Rokosky, FNP

  • Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
  • NPI 1639183932
  NPD (past)
• Dennis L Rousseau Jr., M.D./ PH.D.

  • Surgical Oncology Physician
  • San Antonio, TX
  • NPI 1801805239
  NPD (past)
• Nora Lee Walker, M.D.

  • Pulmonary Disease Physician
  • San Antonio, TX
  • NPI 1104823822

  Specialist

  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1962602763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 NE LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091205",
            "telephone_number": "210-654-6000",
            "fax_number": "210-654-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 NE LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091205",
            "telephone_number": "210-654-6000",
            "fax_number": "210-654-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO NORTH CARDIOVASCULAR ASSOCIATES, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "GAROUTTE",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-654-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H9639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CC8198",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83Z820",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085790602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Methodist Physician Practices, PLLC
• Cristina Angela Metildi, M.D
• Metis Foundation
• Anthony Randolph Metoyer Jr., MA, NCC, LPC
• Zane Metoyer, IONM
• Metro Treatment of Texas LP (New Season 270-272 Treatment Center)
• Metro Treatment of Texas LP (New Season 270-271 Treatment Center)
• Metropolitan Family Practice, P.a.
• Ramesh V V S Metta, MD
• Darlene Metter, M.D.

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.