MR. ANTONIO ORTIZ-GARCIA (PA) – Physician Assistant, NPI 1386890929
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
Provider Addresses for MR. ANTONIO ORTIZ-GARCIA (PA)
12651 Vance Jackson Rd Ste 114
San Antonio, TX 782305960
Phone: (210) 762-3780
Type: Location
1100 WILFORD HALL LOOP
LACKLAND AFB, TX 782365638
Phone: (210) 292-7412
Type: Mailing
William Beaumont Army Medical Center, 5005, North Piedras Street, El Paso, El Paso County, Texas, 79930, United States
WILLIAM BEAUMONT ARMY MEDICAL CENTER
EL PASO, TX 799205001
Phone: (915) 569-1233
Type: Mailing
118, South Main Street, Boerne, Kendall County, Texas, 78006, United States
BOERNE, TX 780062839
Phone: (830) 815-1081
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191114001370 | I | Physician Assistant | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78230)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | VA | |
| Nurse Practitioner | PA | |
| - | IN | |
| A N E S T H E S I O L O G Y | IN | |
| - | TN | |
| - | NM | |
| - | WI | |
| - | OH | |
| Nurse Practitioner | FL |
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