SAN MARCOS MEDICAL IMAGING PLLC – Diagnostic Radiology Physician, NPI 1861519175

SAN MARCOS MEDICAL IMAGING PLLC is a healthcare provider. based in San marcos, Texas. specializing in Diagnostic Radiology Physician. The organization holds a License No. H7991 (TX). The NPI Number for SAN MARCOS MEDICAL IMAGING PLLC is 1861519175

Main info

Organization
Name
SAN MARCOS MEDICAL IMAGING PLLC
NPI
1861519175
Phone
(512) 396-8565
Address
PO BOX 1005
Authorized Official
GREGORY C. DE LA IGLESIA PRESIDENT MD
Enumeration Date
23 March 2007
Last Update Date
16 June 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SAN MARCOS MEDICAL IMAGING PLLC

  • PO BOX 1005

    SAN MARCOS, TX 786671005

    Phone: (512) 396-8565

    Fax: (512) 396-8567

    Type: Mailing

  • 1301 WONDER WORLD DR

    SAN MARCOS, TX 786667533

    Phone: (512) 396-8565

    Fax: (512) 396-8567

    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: 2012-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-06-30 (21 days away).

Enrollment records

1

Earliest due date

2026-06-30

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
O20120425000171OClinic/Group PracticeTX2026-06-30

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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 78667)

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Reviews

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Frequently asked questions

Where can patients find SAN MARCOS MEDICAL IMAGING PLLC's NPI?
You can confirm SAN MARCOS MEDICAL IMAGING PLLC with NPI 1861519175; it appears in the national provider directory.
Is SAN MARCOS MEDICAL IMAGING PLLC currently active in the NPI registry?
CMS-published data lists SAN MARCOS MEDICAL IMAGING PLLC as an active registrant.
What kind of provider is SAN MARCOS MEDICAL IMAGING PLLC?
The page reflects Diagnostic Radiology Physician for SAN MARCOS MEDICAL IMAGING PLLC. Clinical services aligned with this taxonomy classification.
Where is SAN MARCOS MEDICAL IMAGING PLLC's primary listing?
We display San Marcos, Texas because that is what the record indicates for SAN MARCOS MEDICAL IMAGING PLLC.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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