MARIO BUSTAMANTE MD PA
NPI 1477757334
Specialist in San Antonio, TX
About Mario Bustamante Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIO BUSTAMANTE MD PA (NPI 1477757334) is a healthcare organization registered as a specialist in San Antonio, Texas and active in the NPI registry since June 2007. The organization lists Leticia A Cantu, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mario Bustamante Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mario Bustamante MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mario Bustamante MD PA's NPI number?
The NPI number for Mario Bustamante MD PA is 1477757334. It was assigned to this organization in the NPPES registry on June 13, 2007.
Where is Mario Bustamante MD PA located?
Mario Bustamante MD PA is located at 12770 Cimarron Path Suite 132, San Antonio, TX 78249. The listed phone number is (210) 733-1802.
What is Mario Bustamante MD PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Mario Bustamante MD PA enrolled in Medicare?
Yes. Mario Bustamante MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mario Bustamante MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Mario Bustamante MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mario Bustamante MD PA was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Mario Bustamante Md Pa · NPI 1477757334
Specialist organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since June 13, 2007.
## Identity
- **NPI:** 1477757334 (Entity type: Organization)
- **Enumerated:** June 13, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Leticia Cantu, BILLING MANAGER
## Practice location
- **Address:** 12770 CIMARRON PATH, SUITE 132, San Antonio, TX 78249-3416
- **Phone:** (210) 733-1802 · **Fax:** (210) 733-1808
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Orthopedic Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2016
- **Other identifiers:** Other 0076MN (TX); Medicare NSC 4842170001 (TX); Medicaid 168353401 (TX); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1477757334) · Data from the CMS NPPES public registry.