OrganizationActive
Medicaid360, Inc.
NPI 1790929743 · Contractor · San Antonio, TX
Medicaid360, Inc. is a Contractor organization in San Antonio, TX (NPI 1790929743).
Provider details
- NPI number
- 1790929743
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Teresa Harris, President(210) 863-1600
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
626 Mesa Rdg
San Antonio, TX 78258-4815
Phone: (210) 863-1600
Street-level locationGet directions
Mailing address
626 Mesa Rdg
San Antonio, TX 78258-4815
Registry dates
- Enumerated
- 2009-04-21
- Last updated
- 2009-04-21
Frequently asked questions
- What is Medicaid360, Inc.'s NPI number?
- Medicaid360, Inc.'s National Provider Identifier (NPI) is 1790929743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medicaid360, Inc.?
- Medicaid360, Inc. is classified in the NPPES registry as Contractor (Other Service Providers).
- Where is Medicaid360, Inc. located?
- Medicaid360, Inc.'s practice location on file with NPPES is 626 Mesa Rdg, San Antonio, TX 78258-4815.
- What is Medicaid360, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Medicaid360, Inc. is (210) 863-1600.
- Who is the authorized official for Medicaid360, Inc.?
- The authorized official listed on Medicaid360, Inc.'s NPPES record is Teresa Harris, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medicaid360, Inc.'s NPI active?
- Yes — Medicaid360, Inc.'s NPI (1790929743) is active in the NPPES registry as of the last update on 2009-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.