Diego Mascorro, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1515 Pappas St
Laredo, TX 78041-1705

Phone

(956) 718-6259

Fax

(956) 718-6294

NPI assigned

Mar 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Medicine Associates of San Antonio PAGroup PAC ID 3274525548, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diego.mascorro.1@28730.direct.athenahealth.com

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.

• Sports Medicine Associates of San Antonio, PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Antonio, TX
  • NPI 1861549503
  Medicare reassignment Care Compare group NPD
• Sports Medicine Associates of San Antonio, PA

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1568280808
  NPD
• Laredo Sports Medicine Clinic, PA

  • Orthopaedic Surgery Physician
  • Laredo, TX
  • NPI 1477675163
  NPD (past)
• Sports Medicine Associates of San Antonio, PA

  • Physical Therapist
  • San Antonio, TX
  • NPI 1609124312
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1962864728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3397",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780443397",
            "telephone_number": "956-718-6259",
            "fax_number": "956-718-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411705",
            "telephone_number": "956-718-6259",
            "fax_number": "956-718-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCORRO",
        "first_name": "DIEGO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Michelle Martinez, PHARMD
• Valerie Marie Martinez, D.D.S.
• Yesenia Isela Martinez
• Yvette Martinez, B.S., SLP ASSISTANT
• Michelle Mas Kildare, MD
• Jose Luis Mata Jr., PTA
• Patricia Ann Mata
• Samantha Mata
• Sydney Matteson
• Maurice a. Click, Jr., M.D., P.a.

• Physician Assistant in Laredo, TX
• Providers in Laredo, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.

Verify at the official NPI Registry.