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DR. CARLOS MARIO ROLDAN M.D. NPI 1356348635


NPI Information

NPI: 1356348635
Provider Name: DR. CARLOS MARIO ROLDAN, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
9969 FREDERICKSBURG RD
SAN ANTONIO, TX
ZIP 78240
Phone: (210) 690-2273
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DR. Carlos Mario Roldan, M.D. is a family medicine in San Antonio, TX with 33 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Carlos Mario Roldan, M.D. NPI is 1356348635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9969 FREDERICKSBURG RD
SAN ANTONIO, TX
ZIP 78240-106
Phone: (210) 690-2273
Fax: (210) 581-8209

The NPI 1356348635 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

The enumeration date for this NPI number is 7/1/2005 and was last updated on 11/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12279P3800XRespiratory Therapist, RegisteredPalliative/HospiceK6273TEXASNo
2207Q00000XFamily MedicineK6273TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18965J5MEDICARE ID-TYPE UNSPECIFIED
2737802OTHERHUMANA GOLD
3422006OTHERONE HEALTH
48583769006OTHERCIGNA HMO
5161670007OTHERPACIFICARE
61053605-01MEDICAIDTEXAS
72152038OTHERAETNA
88583769005OTHERCIGNA POS
94188977OTHERBLUELINK
1085270YOTHERBCBS
11G88977MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.