DR. MARISSA SALAZAR CANTU MD
NPI 1871869933
Pediatrics - Pediatric Emergency Medicine in San Antonio, TX

Q: What is Marissa Cantu's NPI number?

The NPI number for Marissa Cantu is 1871869933. It was assigned to this individual provider in the NPPES registry on March 22, 2012.

Q: What is Marissa Cantu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Cantu was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 22, 2012PECOS EnrolledAccepts Medicare Assignment

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-2078(210) 358-1972 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2022, Oct 14, 2021, Jan 23, 2019 (3 updates tracked since 2019).

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About Dr. Marissa Salazar Cantu Md NPPES

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

DR. MARISSA SALAZAR CANTU MD (NPI 1871869933) is an individual pediatric emergency medicine provider in San Antonio, Texas, licensed in Texas (S6584) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1871869933

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameDR. MARISSA SALAZAR CANTUCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-2078 · Fax (210) 358-1972

Phone(210) 358-2078

Fax(210) 358-1972

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 22, 2012

Last NPPES UpdateFebruary 17, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2022

✔ NPI 1871869933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in TX · S6584

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 2015015074 (MO)

Also ListedPediatrics · Child Abuse PediatricsTaxonomy 2080C0008X · License S6584 (TX)

Also ListedHospitalistTaxonomy 208M00000X · License 2015015074 (MO)

4502 MEDICAL DR, San Antonio, TX 78229

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Other Identifiers 2

Medicaid412395201TX

Other412395202TX · Cshcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc..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. Marissa Salazar Cantu Md 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 ID5890009385

PECOS Enrollment IDI20200608002340

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 Marissa Cantu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uthscsa Dental School

0.2 mi

Oral and Maxillofacial Surgery

7703 FLOYD CURL DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: University Of Texas Health Science Center At San Antonio
2,397 clinicians in this Medicare group

NPI 1750403887 (210) 567-3274

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

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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)