Individual provider Active NPI

Jeffrey R Dempsey, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1063282549
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18019 Issued in TX
Practice address
1434 E Sonterra Blvd Ste 206
San Antonio, TX 78258-4973
Phone
(210) 402-3456
NPI assigned
Jan 4, 2024
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18019 TX Primary

Addresses

Primary practice location

1434 E Sonterra Blvd Ste 206
San Antonio, TX 78258-4973

Mailing address

1434 E Sonterra Blvd Ste 206
San Antonio, TX 78258-4973
Phone (210) 402-3456

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610001695 TX Practitioner - Physician Assistant 7214479989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medcare Associates PAGroup PAC ID 5294714580, 28 clinicians

Practice addresses (Care Compare)

1050 State Hwy 16 S
Bandera, TX 78003-4830
Phone (830) 796-7713

1051 US Hwy 90 E
Castroville, TX 78009-5210
Phone (830) 931-3336

1434 E Sonterra Blvd
Suite 206
San Antonio, TX 78258-4973
Phone (210) 402-3456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18019TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Associates PA Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1063282549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 E SONTERRA BLVD STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584973",
            "telephone_number": "210-402-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 E SONTERRA BLVD STE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584973",
            "telephone_number": "210-402-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-04",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.