Individual provider Active NPI

Michelle Lynn Aliotta, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1972877785
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P3501 Issued in TX
Practice address
6402 N New Braunfels Ave
San Antonio, TX 78209-3827
Phone
(210) 824-5392
Fax
(210) 824-3986
NPI assigned
Feb 27, 2012
Last updated
May 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P3501 TX Primary

Addresses

Primary practice location

6402 N New Braunfels Ave
San Antonio, TX 78209-3827

Mailing address

8711 Village Dr Ste 114
San Antonio, TX 78217-5419
Phone (210) 824-5392

Other identifiers 2

IdentifierTypeStateIssuer
309967301MedicaidTX
260861YLLZOtherTXMEDICARE PTAN

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
I20130102000197 TX Practitioner - Family Practice 7113170085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
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)

26112 Overlook Pkwy
Suite 1100
San Antonio, TX 78260-6054
Phone (210) 497-2338

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

430 W Sunset Rd
San Antonio, TX 78209-1770

5929 Broadway
San Antonio, TX 78209-5235
Phone (210) 657-2100

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2015 Accepting new patients
Nuch of Texas PastSince Jul 15, 2014 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

275 E Morrison Rd
#B1
Brownsville, TX 78526
Phone (956) 350-8816

707 W Sesame Dr
Harlingen, TX 78550
Phone (956) 412-5800

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

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

525 Oak Centre Dr
Ste 350
San Antonio, TX 78258
Phone (210) 297-4560

6402 N New Braunfels Ave
San Antonio, TX 78209
Phone (210) 824-5392

8711 Village Dr
Ste 114
San Antonio, TX 78217
Phone (210) 297-2244

Interoperability endpoints

  • Direct secure messaging: michelle.aliotta.1@1438.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1972877785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 VILLAGE DR STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175419",
            "telephone_number": "210-824-5392",
            "fax_number": "210-824-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 N NEW BRAUNFELS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093827",
            "telephone_number": "210-824-5392",
            "fax_number": "210-824-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIOTTA",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309967301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "260861YLLZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.