Carlos Porter, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J6667 Issued in TX

Practice address

9091 Fair Oaks Pkwy Ste 301
Fair Oaks Ranch, TX 78015-4690

Phone

(210) 903-2002

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• TX HMO

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGFEDD/Endpoint/HGFEDD
• FHIR API: https://fhir4.healow.com/fhir/r4/HJEGCD/Endpoint/HJEGCD

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Companion Hospice and Palliative Care of South Texas, LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1316327950

  Limited Partnership Interest

  CMS ownership

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.

• Primary Care Medical Associates PLLC

  • Family Medicine Physician
  • Fair Oaks Ranch, TX
  • NPI 1235988676
  Medicare reassignment NPD
• South Central Texas Healthcare

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1669787347
  NPD (past) Authorized official
• Carlos Porter, MD PA

  dba Satmed

  • Non-Surgical Family Planning Clinic/Center
  • Universal City, TX
  • NPI 1548475320
  NPD
• Rose Medical Group, P.a.

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
  • NPI 1508061482
  NPD (past)
• United Physicians of San Antonio PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1346375409
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1013918242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 CALLAGHAN RD STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281107",
            "telephone_number": "210-341-9614",
            "fax_number": "210-340-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9091 FAIR OAKS PKWY STE 301",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154690",
            "telephone_number": "210-903-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121373801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121373802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121373804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121373803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine R. Merritt, L.M., CPM
• Cathi Murphey Half, PH.D.
• Jennifer Ngo
• Rhonda B Otway, MFT
• Suzanne Pitts, MD
• Ralph A Porter, LPC, LCDC
• Evelyn Cecile Price, RN
• Primary Care Medical Associates PLLC
• Sarah Ann Reeh, DPT
• Patti Rogers Ricker, LCSW

• Family Medicine Physician in Fair Oaks Ranch, TX
• Providers in Fair Oaks Ranch, 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 Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.