Med Mart - San Antonio – Oxygen Equipment & Supplies (DME), NPI 1164422143

Med Mart - San Antonio is a healthcare provider. based in San antonio, Texas. specializing in Oxygen Equipment & Supplies (DME). The NPI Number for Med Mart - San Antonio is 1164422143

Main info

Organization
Name
Med Mart - San Antonio
NPI
1164422143
Phone
(210) 697-9933
Address
21195 IH 10 W
Authorized Official
CARLOS BARRERA PRESIDENT
Enumeration Date
30 July 2005
Last Update Date
10 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Med Mart - San Antonio

  • 21195 IH 10 W

    SUITE 1101

    SAN ANTONIO, TX 782571674

    Phone: (210) 697-9933

    Fax: (210) 697-8753

    Mailing address matches the actual address.

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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-09-30 (113 days away).

Enrollment records

1

Earliest due date

2026-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930091598OMedical Supply CompanyTX2026-09-30

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

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 78257)

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Reviews

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Frequently asked questions

Does Med Mart - San Antonio have a public NPI I can cite?
Public records show Med Mart - San Antonio under NPI 1164422143.
Does the public listing show Med Mart - San Antonio as active?
Med Mart - San Antonio's NPI record reflects an active status in NPPES.
What services align with Med Mart - San Antonio's listing?
Med Mart - San Antonio's public classification highlights Oxygen Equipment & Supplies (DME). Clinical services aligned with this taxonomy classification.
Is Med Mart - San Antonio tied to San Antonio, Texas?
If you are local to San Antonio, Texas, Med Mart - San Antonio may be relevant to your search.
Why is information missing for Med Mart - San Antonio?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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