Individual provider Active NPI

Annabelle Lozano Garcia, MD

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1013181916
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N5065 Issued in TX
Practice address
1314 E Sonterra Blvd Ste 2201
San Antonio, TX 78258-4287
Phone
(210) 496-5792
Fax
(210) 496-7601
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X N5065 TX Primary

Addresses

Primary practice location

1314 E Sonterra Blvd Ste 2201
San Antonio, TX 78258-4287

Mailing address

1314 E Sonterra Blvd Ste 2201
San Antonio, TX 78258-4287
Phone (210) 496-5792

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
I20111115000866 TX Practitioner - Dermatology 4880868538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonterra Dermatology PLLCGroup PAC ID 5193972859, 9 clinicians

Practice addresses (Care Compare)

1314 E Sonterra Blvd
Suite 2201
San Antonio, TX 78258-4287
Phone (210) 496-5792

Merit-based Incentive Payment System (MIPS)

Final score
77.29 of 100Reported as individual
Quality
58.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of skin lesions848
Removal or shaving of skin growth1-10
Skin biopsy259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N5065TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonterra Dermatology PLLC CurrentSince Jul 1, 2012 Accepting new patients

Locations

6801 McPherson Rd
Ste 221
Laredo, TX 78041
Phone (956) 712-8147

1314 E Sonterra Blvd
Ste 2201
San Antonio, TX 78258
Phone (210) 496-5792

2632 Broadway St
Ste 201N
San Antonio, TX 78215
Phone (210) 226-0040

325 E Sonterra Blvd
Ste 110
San Antonio, TX 78258
Phone (210) 402-1222

Networks

  • TX HMO D-SNP
  • TX HMO

Interoperability endpoints

  • Direct secure messaging: algarciamd@sonterraderm.emadirect.md

Organizations & group practices 1

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1013181916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD STE 2201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584287",
            "telephone_number": "210-496-5792",
            "fax_number": "210-496-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD STE 2201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584287",
            "telephone_number": "210-496-5792",
            "fax_number": "210-496-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ANNABELLE",
        "middle_name": "LOZANO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N5065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.