DR. MARISA S TADDEO MD
NPI 1760019921
Psychiatry & Neurology - Psychiatry in San Antonio, TX

Q: What is Marisa Taddeo's NPI number?

The NPI number for Marisa Taddeo is 1760019921. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Marisa Taddeo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Taddeo was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since March 26, 2020PECOS Enrolled

5788 ECKHERT RD, SAN ANTONIO, TX 78240(210) 450-6450 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Jan 5, 2026, Jun 12, 2025 and 1 more (4 updates tracked since 2020).

On this page

About Dr. Marisa S Taddeo Md NPPES

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

DR. MARISA S TADDEO MD (NPI 1760019921) is an individual psychiatry provider in San Antonio, Texas, licensed in Texas (V3444) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760019921

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. MARISA S TADDEOCredential: MD

Location Address5788 ECKHERT RDSan Antonio, TX 78240-3900

Mailing Address5788 Eckhert RdSan Antonio, TX 78240-3900 · (210) 450-6450

Phone(210) 450-6450

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateApril 28, 20264 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1760019921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in TX · V3444

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License V3444 (TX)

5788 ECKHERT RD, San Antonio, TX 78240

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Community First and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marisa S Taddeo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193211878

PECOS Enrollment IDI20251231003556

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 Reassignments

Medicare enrollment records show Marisa Taddeo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Health Science Center At San Antonio

1.0 mi

Dental

8210 FLOYD CURL DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
2,397 clinicians in this Medicare group

NPI 1760424873 (210) 567-6405

Bexar County Board Of Trustees For Mental Health Mental Retardation

3.7 mi

Family Medicine

6800 PARK TEN BLVD, SUITE 200-S
San Antonio, TX 78213

Reassigned Medicare billing, Texas enrollment
210 clinicians in this Medicare group

NPI 1679948392 (210) 261-1000

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 78240 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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 20

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

DR. WILLIAM ELDER PH.D.

Psychologist (Counseling)