Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ALEXIS VICTORIA MAIELLA DO
NPI 1194308171
Family Medicine - Sports Medicine in San Antonio, TX

Active since April 28, 2021PECOS Enrolled
1422 E GRAYSON ST STE 102, SAN ANTONIO, TX 78208(210) 804-5400 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, Mar 12, 2025, Jun 28, 2024 and 2 more (5 updates tracked since 2021).

About Dr. Alexis Victoria Maiella Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALEXIS VICTORIA MAIELLA DO (NPI 1194308171) is an individual sports medicine provider in San Antonio, Texas, licensed in Texas (V3638) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194308171
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameDR. ALEXIS VICTORIA MAIELLACredential: DO
Location Address1422 E GRAYSON ST STE 102San Antonio, TX 78208-1430
Mailing Address400 Concord Plaza Dr Ste 300San Antonio, TX 78216-6991 · (210) 804-5400
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 28, 2021
Last NPPES UpdateOctober 26, 20265 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1194308171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in TX · V3638
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP20090567 (TX)
1422 E GRAYSON ST STE 102, San Antonio, TX 78208

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alexis Victoria Maiella Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991210361
PECOS Enrollment IDI20250715001021
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alexis Maiella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
400 CONCORD PLAZA DR, STE 300
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 163 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1422 E GRAYSON ST STE 102
SAN ANTONIO, TX 78208
Physical Therapist
1422 E GRAYSON ST STE 102
SAN ANTONIO, TX 78208
Physical Therapist (Orthopedic)
1422 E GRAYSON ST STE 102
SAN ANTONIO, TX 78208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Maiella's NPI number?

The NPI number for Alexis Maiella is 1194308171. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Alexis Maiella located?

Alexis Maiella practices at 1422 E Grayson St Ste 102, San Antonio, TX 78208. The listed phone number is (210) 804-5400.

What is Alexis Maiella's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Alexis Maiella enrolled in Medicare?

Yes. Alexis Maiella is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alexis Maiella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Maiella reassigns Medicare benefits to The San Antonio Orthopaedic Group, LLP (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexis Maiella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexis Maiella accept?

Health plans from Antidote Health of TX and Blue Cross and Blue Shield of Texas list Alexis Maiella as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexis Maiella was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.