NPIMap

Organization Active NPI

Allergy, Asthma & Immunology Associates of South Texas, P.a.

  • Allergy & Immunology Physician
  • San Antonio, TX
National Provider Identifier
1023175239
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES OF SOUTH TEXAS, P.A.
Practice address
2424 Babcock Rd Ste 301
San Antonio, TX 78229-6031
Phone
(210) 616-0882
Fax
(210) 692-7833
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Dr. Tatiana Scscheva-Johnson
Title
Chief Human Resource Officer
Phone
(770) 501-1343

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

2424 Babcock Rd Ste 301
San Antonio, TX 78229-6031

Mailing address

2424 Babcock Rd Ste 301
San Antonio, TX 78229-6031
Phone (210) 616-0882

Other practice location 1

7500 Barlite Blvd Ste 106
San Antonio, TX 78224-1362
Phone (210) 616-0882

Other identifiers 1

IdentifierTypeStateIssuer
095040402MedicaidTX

Other names 1

  • Allergy SA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000908 TX Part B Supplier - Clinic/Group Practice 3274596853 Receives reassigned benefits from 8 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2424 Babcock Rd
San Antonio, TX 78229

2424 Babcock Rd
Ste 301
San Antonio, TX 78229
Phone (210) 538-7678

7500 Barlite Blvd
Ste 106
San Antonio, TX 78224
Phone (210) 538-7656

2414 Babcock Rd
Ste 109
San Antonio, TX 78229
Phone (210) 616-0882

2141 Babcock Rd Ste 109
San Antonio, TX 78229

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1023175239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 BABCOCK RD STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296031",
            "telephone_number": "210-616-0882",
            "fax_number": "210-692-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 BABCOCK RD STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296031",
            "telephone_number": "210-616-0882",
            "fax_number": "210-692-7833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Barlite Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782241362",
            "country_code": "US",
            "telephone_number": "210-616-0882",
            "fax_number": "210-692-7833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES OF SOUTH TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "SCSCHEVA-JOHNSON",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "CHIEF HUMAN RESOURCE OFFICER",
        "authorized_official_telephone_number": "770-501-1343",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095040402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy SA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.