NPIMap

Organization Active NPI

University of Texas Health Science Center at San Antonio

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
National Provider Identifier
1003689548
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
Practice address
7946 N. Loop 1604 W
San Antonio, TX 78249
Phone
(210) 567-9100
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Andrea Monique Marks
Title
Sr Evp and Chief Operating Officer
Phone
(210) 567-7103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

7946 N. Loop 1604 W
San Antonio, TX 78249

Mailing address

8431 Fredericksburg Rd FL 5
San Antonio, TX 78229-3392
Phone (210) 450-9000

Other names 1

  • UT Health KSP ASC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240328001323 TX Part B Supplier - Ambulatory Surgical Center 0042128548 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
University of Texas Health Science Center at San Antonio Dba Ut Health KSP ASCCCN 45C0451288
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Univ of TX HLTH Science14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ut Health San Antonio Multispecialty & Research HospitalSan Antonio, TX, CCN 670335 Hospital Operational/Managerial Control Jan 1, 1975

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1,290

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

View all 1,290

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1003689548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8431 FREDERICKSBURG RD FL 5",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293392",
            "telephone_number": "210-450-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7946 N. LOOP 1604 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78249",
            "telephone_number": "210-567-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "SR EVP AND CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "210-567-7103"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Health KSP ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.