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MATTHEW N MASTRODICASA MD
NPI 1720775992
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Active since April 19, 2023PECOS Enrolled
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, 3RD FLOOR, SAN ANTONIO, TX 78251(210) 703-9001(210) 703-9155 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew N Mastrodicasa Md NPPES

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

MATTHEW N MASTRODICASA MD (NPI 1720775992) is an individual student in an organized health care education/training program in San Antonio, Texas, licensed in Texas (BP10083961) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720775992
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW N MASTRODICASACredential: MD
Location Address11130 CHRISTUS HILLS, MEDICAL PLAZA 3, 3RD FLOORSan Antonio, TX 78251-3585
Mailing Address11130 Christus Hills, Medical Plaza 3, 3rd FloorSan Antonio, TX 78251-3585 · (210) 703-9001 · Fax (210) 703-9155
Phone(210) 703-9001
Fax(210) 703-9155
Sole ProprietorNo
Enumeration DateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1720775992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10083961
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11130 CHRISTUS HILLS, San Antonio, TX 78251
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew N Mastrodicasa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

JOSHUA T KUEHNE DO
Family Medicine
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, 3RD FLOOR
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001
JOSE R HINOJOSA II MD
Family Medicine
11130 CHRISTUS HILLS, 3RD FLOOR
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001
SHAHID AZIZ M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11130 CHRISTUS HILLS, STE 101
SAN ANTONIO, TX 78251
Bexar County (210) 352-5006
SYED J. UMER, MD, PA
Internal Medicine (Cardiovascular Disease)
11130 CHRISTUS HILLS, SUITE 207 MEDICAL PLAZA 3
SAN ANTONIO, TX 78251
Bexar County (210) 681-6176
ALLISON MARIE SMITH MD
Student in an Organized Health Care Education/Training Program
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, 3RD FL
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001
CECILIA NGUYEN DO
Student in an Organized Health Care Education/Training Program
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, SUITE 311
SAN ANTONIO, TX 78251
Bexar County (210) 703-9025
KALLI R GLASS DO
Family Medicine
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, 3RD FLOOR
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001
MAX MCCOLLOSTER MD
Family Medicine
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, 3RD FL
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001

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 Matthew Mastrodicasa's NPI number?

The NPI number for Matthew Mastrodicasa is 1720775992. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Matthew Mastrodicasa located?

Matthew Mastrodicasa practices at 11130 Christus Hills Medical Plaza 3, 3rd Floor, San Antonio, TX 78251. The listed phone number is (210) 703-9001.

What is Matthew Mastrodicasa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Mastrodicasa enrolled in Medicare?

Yes. Matthew Mastrodicasa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Mastrodicasa was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.