Javier C Bocanegra, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H2253 Issued in TX

Practice address

1616 Callaghan Rd
San Antonio, TX 78228

Phone

(210) 435-1218

Fax

(210) 435-3162

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Texas Medical School at San Antonio, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Family Medicine PAGroup PAC ID 8123931011, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Healthcare at Home Home health agency, San Antonio, TX, CCN 679424

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: communityfamilymedicine@ppdxdirect.com

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.

• Community Family Medicine PA

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1295825990
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Innovative Senior Care Home Health of San Antonio LLC

  • Home Health Agency
  • San Antonio, TX
  • NPI 1932387321
  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1003837758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78228",
            "telephone_number": "210-435-1218",
            "fax_number": "210-435-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78228",
            "telephone_number": "210-435-1218",
            "fax_number": "210-435-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCANEGRA",
        "first_name": "JAVIER",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121539404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surayyo Bobodzhanova, FNP-C
• Cheryl Hutton Bocage, PHARM. D.
• Alexa-Rae Nicole Bocanegra, DO
• Diego A Bocanegra, PAC
• Gabrielle Lynn Bocanegra, LCDC
• Karina Lisette Bocanegra, MA, LMFT
• Bocangel Integrative Medicine & Acupuncture, LLC
• Sunil Udebhan Bochare, MD
• Brett Bocian, DMD
• Brandon Bock, RN

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.