Active NPI
Alex De Jesus, MD
- Rheumatology Physician
- San Antonio, TX
National Provider Identifier
1013986629
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- BRCH SA exclusion effective Mar 6, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- H5866
- Practice address
- 7959 Fredericksburg Rd
Suite 135
San Antonio, TX 78229-3430 - Phone
- (210) 396-7410
- Fax
- (210) 396-4421
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | H5866 | TX | Primary |
Addresses
Primary practice location
7959 Fredericksburg Rd
Suite 135
San Antonio, TX 78229-3430
Mailing address
7959 Fredericksburg Rd
Suite 135
San Antonio, TX 78229-3430
Phone (210) 396-7410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134972210 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Spinal Clinic, P.a. | Past | Accepting new patients | |
| Carrasco Pain Institute, PA | Past | Accepting new patients |
Interoperability endpoints
- alex.dejesus@3904.securemail.prognocis.com
Organizations & group practices 2
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.
-
- Specialist
- San Antonio, TX
- NPI 1700054558
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1679506653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1013986629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7959 FREDERICKSBURG RD",
"address_2": "SUITE 135",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293430",
"telephone_number": "210-396-7410",
"fax_number": "210-396-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7959 FREDERICKSBURG RD",
"address_2": "SUITE 135",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293430",
"telephone_number": "210-396-7410",
"fax_number": "210-396-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2021-12-16",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "TX",
"license": "H5866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134972210",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.