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MARY ELIZABETH PORISCH M.D.
NPI 1790741254
Pediatrics - Pediatric Cardiology in San Antonio, TX

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
4499 MEDICAL DR, SUITE 272, SAN ANTONIO, TX 78229(210) 614-3264(210) 615-0888 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Elizabeth Porisch M.d. NPPES

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

MARY ELIZABETH PORISCH M.D. (NPI 1790741254) is an individual pediatric cardiology provider in San Antonio, Texas, licensed in Texas (L0907) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1992).

NPPES Registry Identity

NPI1790741254
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameMARY ELIZABETH PORISCHCredential: M.D.
Location Address4499 MEDICAL DR, SUITE 272San Antonio, TX 78229-3735
Mailing Address1510 BelclaireSan Antonio, TX 78258-4493 · (210) 292-6635 · Fax (210) 292-7902
Phone(210) 614-3264
Fax(210) 615-0888
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1992
Enumeration DateApril 25, 2006
Last NPPES UpdateSeptember 21, 2010
✔ NPI 1790741254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in TX · L0907
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
4499 MEDICAL DR, San Antonio, TX 78229
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Other Identifiers 2

Medicare UPIN00609XTX
Medicare PIN8K0631TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Elizabeth Porisch M.d. 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 ID648363549
PECOS Enrollment IDI20070910000175
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.

DR. ROBERT P THOMAS M.D.
Surgery (Pediatric Surgery)
4499 MEDICAL DR, SUITE 347
SAN ANTONIO, TX 78229
Bexar County (210) 615-8757
CHARLES T GAY M.D.
Pediatrics
4499 MEDICAL DR, STE 396
SAN ANTONIO, TX 78229
Bexar County (210) 614-3737
KRISTIE YOUNG BORGMAN MD
Pediatrics (Pediatric Cardiology)
4499 MEDICAL DR, #289
SAN ANTONIO, TX 78229
Bexar County (210) 614-3264
DR. FRANK M ROBERTSON M.D.
Surgery (Pediatric Surgery)
4499 MEDICAL DR, SUITE 347
SAN ANTONIO, TX 78229
Bexar County (210) 615-8757
DR. JAMES EDWARD FRANCO DDS, MD
Dentist (Oral and Maxillofacial Surgery)
4499 MEDICAL DR, SUITE 190
SAN ANTONIO, TX 78229
Bexar County (210) 614-3915
CECILIA ALEJANDRA GARCIA DE MITCHELL MD
Plastic Surgery
4499 MEDICAL DR, SUITE 347
SAN ANTONIO, TX 78229
Bexar County (210) 615-0068
DR. VINCENT AUGUST CALDAROLA M.D.
Specialist
4499 MEDICAL DR, SUITE 250
SAN ANTONIO, TX 78229
Bexar County (210) 614-3565
CHILDREN'S HEMATOLOGY & ONCOLOGY CENTER
Pediatrics (Pediatric Hematology-Oncology)
4499 MEDICAL DR, SUITE 260
SAN ANTONIO, TX 78229
Bexar County (210) 616-0800

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 Mary Porisch's NPI number?

The NPI number for Mary Porisch is 1790741254. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Mary Porisch located?

Mary Porisch practices at 4499 Medical Dr Suite 272, San Antonio, TX 78229. The listed phone number is (210) 614-3264.

What is Mary Porisch's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Mary Porisch enrolled in Medicare?

Yes. Mary Porisch 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.

What insurance does Mary Porisch accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mary Porisch 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 Mary Porisch was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.