Individual provider Active NPI

David Medrano, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1972988632
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128600 Issued in TX
Practice address
18414 US Highway 281 N Ste 104
San Antonio, TX 78259-7611
Phone
(210) 495-0222
Fax
(210) 495-5914
NPI assigned
Jul 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128600 TX Primary

Addresses

Primary practice location

18414 US Highway 281 N Ste 104
San Antonio, TX 78259-7611

Mailing address

18414 US Highway 281 N Ste 104
San Antonio, TX 78259-7611
Phone (210) 495-0222

Other practice location 1

7913 Bandera Rd
San Antonio, TX 78250-6511
Phone (210) 680-9393

Other identifiers 1

IdentifierTypeStateIssuer
AP128600OtherTXTX LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160824002403 TX Practitioner - Nurse Practitioner 2466747878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

272 FM
306 Suite 116
New Braunfels, TX 78130-5490
Phone (830) 310-6812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total MD Physicians Group, PLLC CurrentSince Jan 15, 2022 Accepting new patients
Cano Health, LLC Past Accepting new patients

Locations

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

272 FM 306
Ste 116
New Braunfels, TX 78130
Phone (830) 310-6812

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

9234 N Loop 1604 W
Ste 112
San Antonio, TX 78249
Phone (210) 985-1227

427 N Loop 1604 W
Ste 206
San Antonio, TX 78232
Phone (210) 985-1228

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.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1972988632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18414 US HIGHWAY 281 N STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782597611",
            "telephone_number": "210-495-0222",
            "fax_number": "210-495-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18414 US HIGHWAY 281 N STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782597611",
            "telephone_number": "210-495-0222",
            "fax_number": "210-495-5914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7913 Bandera Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782506511",
            "country_code": "US",
            "telephone_number": "210-680-9393",
            "fax_number": "855-278-4577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "DAVID",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-23",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "AP128600",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.