Individual provider Active NPI

Tate Richard Nice, M.D.

  • Pediatric Surgery Physician
  • San Antonio, TX
National Provider Identifier
1043484462
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
32521 Issued in AL
Practice address
4499 Medical Dr Ste 347
San Antonio, TX 78229-3853
Phone
(210) 615-8757
Fax
(210) 615-8789
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 35.154575 OH
Pediatric Surgery Physician 2086S0120X 32521 AL Primary

Addresses

Primary practice location

4499 Medical Dr Ste 347
San Antonio, TX 78229-3853

Mailing address

4499 Medical Dr Ste 347
San Antonio, TX 78229-3853
Phone (210) 615-8757

Other practice location 1

3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-4000

Other practice location 2

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 641-4000

Other practice location 3

1600 7th Ave S
Birmingham, AL 35233-1711
Phone (205) 801-8000

Other practice location 4

1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171003004928 TX Practitioner - Pediatric MedicinePractitioner - General Surgery 4688814882 Reassigns benefits to 1 organization
I20251203004163 OH Practitioner - General SurgeryPractitioner - Pediatric Medicine 4688814882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Pediatric Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Childrens Specialty Physicians IncGroup PAC ID 5496916124, 93 clinicians

Practice addresses (Care Compare)

1 Childrens PLZ
Dayton, OH 45404-1873
Phone (937) 641-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.154575OHMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children'S Specialty Physicians, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince Aug 7, 2017 Accepting new patients
Dayton Children'S Specialty Physicians, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Dayton Children'S Hospital Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Bexar Pediatric Surgery Associates PLLC PastSince Aug 7, 2017 Accepting new patients

Locations

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

545 Creekside Xing
Ste 206
New Braunfels, TX 78130
Phone (210) 343-1089

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584

19223 Stonehue
San Antonio, TX 78258
Phone (210) 490-5911

4499 Medical Dr
Ste 347
San Antonio, TX 78229
Phone (210) 615-8757

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

540 Madison Oak Dr
Ste 520
San Antonio, TX 78258
Phone (210) 490-0202

5210 Thousand Oaks Dr
Ste 1203
San Antonio, TX 78233
Phone (210) 233-7250

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1043484462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 347",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293853",
            "telephone_number": "210-615-8757",
            "fax_number": "210-615-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 347",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293853",
            "telephone_number": "210-615-8757",
            "fax_number": "210-615-8789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 W Tech Rd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453420955",
            "country_code": "US",
            "telephone_number": "937-641-4000",
            "fax_number": "937-641-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-641-4000",
            "fax_number": "937-641-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331711",
            "country_code": "US",
            "telephone_number": "205-801-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041815",
            "country_code": "US",
            "telephone_number": "937-641-4000",
            "fax_number": "937-641-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICE",
        "first_name": "TATE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "OH",
            "license": "35.154575",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "AL",
            "license": "32521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.