Theodora Kulesza-Galvez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R7043 Issued in TX

Practice address

5414 Fredericksburg Rd Ste 260
San Antonio, TX 78229-3763

Phone

(210) 452-2669

NPI assigned

Jul 7, 2014

Last updated

May 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23813/brand/1/csg/1/fhir/r4
• Direct secure messaging: theodora.kulesza-galvez.1@23813.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theodora Kulesza-Galvez MD PA

  dba Galvez Family Medicine

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1669059507
  Medicare reassignment NPD Authorized official
• BHS Physicians Network, Inc

  dba Surgical Oncology Associates of South Texas

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1598958431
  Medicare reassignment NPD
• BHS Physicians Network, Inc

  dba Orthopedic Performance Institute

  • Durable Medical Equipment & Medical Supplies
  • Boerne, TX
  • NPI 1730079286
  NPD
• Medexpress Urgent Care - Northern New Jersey, PC

  dba MedExpress Urgent Care - Ledgewood, State Route 10

  • Urgent Care Clinic/Center
  • Ledgewood, NJ
  • NPI 1528476751
  NPD (past)
• Urgent Care Physicians of New Jersey, LLC

  • Emergency Medicine Physician
  • Red Bank, NJ
  • NPI 1447622402
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1013323450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 FREDRICKSBURG RD",
            "address_2": "STE 260 BLDG B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293763",
            "telephone_number": "726-600-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 FREDERICKSBURG RD STE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293763",
            "telephone_number": "210-452-2669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 Broad St",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070133346",
            "country_code": "US",
            "telephone_number": "973-754-4100",
            "fax_number": "973-754-4190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "184 Essex St",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "NJ",
            "postal_code": "076442707",
            "country_code": "US",
            "telephone_number": "201-843-3207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULESZA-GALVEZ",
        "first_name": "THEODORA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10059700",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R7043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Kuisell
• Ples Latson Kujawa, MD
• Jethzi Zuset Kuker Villasana
• Nitin Kukkar, MD
• Alina Kulczycki, PT, DPT.
• Annetta Margaret Kulesza, RPH
• Alyssa Faith Kulka, LPC
• Abhay Kulkarni, M.D.
• Klea Kulla, DDS
• Scott M Kulla, O.T.R.

• 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 May 28, 2021; 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.