US Cardio of Sa, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

130228 Issued in TX

Legal business name

US CARDIO OF SA, LLC

Practice address

6830 Heuermann Rd
San Antonio, TX 78256-9665

Phone

(210) 802-4350

Fax

(210) 802-4351

NPI assigned

Jul 2, 2014

Organization subpart

No

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

Authorized official

Name

Radoslaw Kiesz, M.D.NPI 1710924675

Title

Cardiologist

Phone

(210) 272-0098

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

US Cardio of Sa LLCCCN 45C0001606

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Radoslaw Stefan Kiesz, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1710924675
  Medicare reassignment NPD Authorized official
• James J Galizia, M.D.

  • Cardiovascular Disease Physician
  • Eagle Pass, TX
  • NPI 1437105863
  Medicare reassignment

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1033525779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 HEUERMANN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782569665",
            "telephone_number": "210-802-4350",
            "fax_number": "210-802-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 HEUERMANN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782569665",
            "telephone_number": "210-802-4350",
            "fax_number": "210-802-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US CARDIO OF SA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "KIESZ",
        "authorized_official_first_name": "RADOSLAW",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "210-272-0098",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ursus Mobile Medical PLLC
• Elizabeth Montfort Urteaga, PHARMD
• Joshua Urteaga, MD
• Daniela Urueta Portillo, MD
• Jasmine Urzua-Alba
• US Cardiovascular LLC
• US Health Facilities Development
• US Health Facilities Development
• US Medical Equipment & Supply Warehouse
• US to You Mobile Health, PLLC

• Ambulatory Surgical Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.