Wendy Baca, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

K4359 Issued in TX

Practice address

10935 Wurzbach
#202
San Antonio, TX 78230

Phone

(210) 377-3937

Fax

(210) 342-2375

NPI assigned

Jul 12, 2005

Sex

Female

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 2

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

Ophthalmology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wendy Baca M.D.P.a.

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1205067907
  Medicare reassignment NPD Authorized official
• San Antonio Eye Center PA

  • Eyewear Supplier
  • San Antonio, TX
  • NPI 1649239906
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023016177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65165",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782655165",
            "telephone_number": "210-377-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 WURZBACH",
            "address_2": "#202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78230",
            "telephone_number": "210-377-3937",
            "fax_number": "210-342-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K4359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TEXAS",
            "identifier": "8CC564",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IND PTAN",
            "identifier": "8F22359",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angella Liz Baby, MD
• Shelby Taryn Baca-Zurbaran
• Edna Baca, LPC
• Lori Baca, SLP
• Roberto Baca
• Gina Marie Baccari, C.C.P.,S.A.-C.,LSA
• Bacel Nseir MD LLC
• Henry Maxwell Bacher, M.D.
• Briana Bachicha
• Adelaide Lee Bachle, PA

• Ophthalmology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.