Individual provider Active NPI

Ricardo Nathaniel Sepulveda, MD

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1013177799
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
N4076 Issued in TX
Practice address
8002 West Ave
San Antonio, TX 78213-1865
Phone
(210) 904-2020
Fax
(210) 348-8768
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X N4076 TX
Retina Specialist (Ophthalmology) Physician 207WX0107X N4076 TX
Ophthalmology Physician 207W00000X N4076 TX Primary

Addresses

Primary practice location

8002 West Ave
San Antonio, TX 78213-1865

Mailing address

8002 West Ave
San Antonio, TX 78213-1865
Phone (210) 904-2020

Other practice location 1

2149 El Indio Hwy Ste 2
Eagle Pass, TX 78852-5455
Phone (210) 904-2020

Other practice location 2

1314 E Sonterra Blvd Ste 2103
San Antonio, TX 78258-4286
Phone (210) 904-2020

Other names 1

  • Ricardo Nathaniel Sepulveda-Flores Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091116000619 TX Practitioner - Ophthalmology 5294800090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castle Hills Eye Specialists PAGroup PAC ID 2769778521, 2 clinicians

Practice addresses (Care Compare)

8002 W Ave
San Antonio, TX 78213-1865
Phone (210) 348-8788

Hospital & facility affiliations

  • Fort Duncan Medical Center Hospital, Eagle Pass, TX, CCN 450092

Merit-based Incentive Payment System (MIPS)

Final score
18.78 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N4076TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lasik San Antonio Cornea and External Diseases Specialist CurrentSince Apr 22, 2024 Accepting new patients
Burt a Ginsburg MD PA PastSince May 1, 2015 Accepting new patients
Mission Cataract & Lasik Ophthalmology Past Accepting new patients
Greater Dallas Healthcare Enterprises Past Accepting new patients

Locations

708 Hill Country Dr
Ste 100
Kerrville, TX 78028
Phone (830) 257-5656

237 W Water St
Kerrville, TX 78028
Phone (830) 257-6336

Networks

  • TX HMO D-SNP
  • TX HMO

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1013177799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131865",
            "telephone_number": "210-904-2020",
            "fax_number": "210-348-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131865",
            "telephone_number": "210-904-2020",
            "fax_number": "210-348-8768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2149 El Indio Hwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Eagle Pass",
            "state": "TX",
            "postal_code": "788525455",
            "country_code": "US",
            "telephone_number": "210-904-2020",
            "fax_number": "210-348-8768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 E Sonterra Blvd Ste 2103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584286",
            "country_code": "US",
            "telephone_number": "210-904-2020",
            "fax_number": "210-348-8768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "RICARDO",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TX",
            "license": "N4076",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "N4076",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N4076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICARDO",
            "last_name": "SEPULVEDA-FLORES",
            "middle_name": "NATHANIEL",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.