Individual provider Active NPI

Robert A Raposo, P.A.

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1003035528
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01184 Issued in TX
Practice address
2235 Thousand Oaks Dr
Suite 117
San Antonio, TX 78232-3966
Phone
(210) 490-1000
Fax
(210) 490-3806
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01184 TX Primary

Addresses

Primary practice location

2235 Thousand Oaks Dr
Suite 117
San Antonio, TX 78232-3966

Mailing address

18817 N Heatherwilde Blvd
Ste 150
Pflugerville, TX 78660-1750
Phone (512) 523-4878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01184TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Utc Providers - San Antonio Inc PastSince Apr 15, 2015 Accepting new patients
C. Gruesbeck/F.D. Cruz, MD, P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1003035528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18817 N HEATHERWILDE BLVD",
            "address_2": "STE 150",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601750",
            "telephone_number": "512-523-4878",
            "fax_number": "512-523-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 THOUSAND OAKS DR",
            "address_2": "SUITE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323966",
            "telephone_number": "210-490-1000",
            "fax_number": "210-490-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPOSO",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.