Individual provider Active NPI

Phillip Richard McAllister, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1982107124
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA11876 Issued in TX
Practice address
7835 W Ih 10
San Antonio, TX 78230-4779
Phone
(210) 614-4405
Fax
(210) 614-7892
NPI assigned
Mar 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA11876 TX Primary

Addresses

Primary practice location

7835 W Ih 10
San Antonio, TX 78230-4779

Mailing address

7835 W Ih 10
San Antonio, TX 78230-4779
Phone (210) 614-4405

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
I20180328002635 TX Practitioner - Physician Assistant 4587926795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dilley Allergy and Asthma Specialists LLPGroup PAC ID 8022032010, 3 clinicians

Practice addresses (Care Compare)

7835 Ih 10
San Antonio, TX 78230-4779

7835 W Ih
Suite 10
San Antonio, TX 78230-4779

7835 W Interstate 10
San Antonio, TX 78230-4779
Phone 2106144405211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11876TXMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: phillip.r.mcallister@dilleyallergyasthmatx.mountainside.direct-ci.com

Organizations & group practices 1

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": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1982107124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 W IH 10",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304779",
            "telephone_number": "210-614-4405",
            "fax_number": "210-614-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 W IH 10",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304779",
            "telephone_number": "210-614-4405",
            "fax_number": "210-614-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "PHILLIP",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA11876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.