Organization Active NPI

Heart and Rhythm Institute of South Texas, PA

  • Clinical Cardiac Electrophysiology Physician
  • San Antonio, TX
National Provider Identifier
1003205873
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
L4299 Issued in TX
Legal business name
HEART AND RHYTHM INSTITUTE OF SOUTH TEXAS, PA
Practice address
8122 Datapoint Dr Ste 120
San Antonio, TX 78229-3264
Phone
(210) 998-6900
Fax
(210) 998-6907
NPI assigned
Jan 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Wassim K Choucair, M.D.NPI 1962496620
Title
President
Phone
(361) 779-3094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X L4299 TX
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X L4299 TX Primary

Addresses

Primary practice location

8122 Datapoint Dr Ste 120
San Antonio, TX 78229-3264

Mailing address

PO Box 1436
San Antonio, TX 78295-1436
Phone (210) 998-6900

Other identifiers 1

IdentifierTypeStateIssuer
364883401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150416001791 TX Part B Supplier - Clinic/Group Practice 9032437306 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

8122 Datapoint Dr
Ste 120
San Antonio, TX 78229
Phone (210) 847-1486

10539 State Hwy 151
San Antonio, TX 78251

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1003205873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1436",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782951436",
            "telephone_number": "210-998-6900",
            "fax_number": "210-998-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 DATAPOINT DR STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293264",
            "telephone_number": "210-998-6900",
            "fax_number": "210-998-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND RHYTHM INSTITUTE OF SOUTH TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOUCAIR",
        "authorized_official_first_name": "WASSIM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-779-3094",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L4299",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "L4299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364883401",
            "state": "TX"
        }
    ],
    "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 Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.