Individual provider Active NPI

Mohan Babu Rayala, M.D.

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1063703858
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q6091 Issued in TX
Practice address
2415 E Evans Rd Ste 108
San Antonio, TX 78259-2806
Phone
(210) 490-8888
NPI assigned
Apr 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 249504 MA
Pediatrics Physician 208000000X Q6091 TX Primary

Addresses

Primary practice location

2415 E Evans Rd Ste 108
San Antonio, TX 78259-2806

Mailing address

2415 E Evans Rd Ste 108
San Antonio, TX 78259-2806
Phone (210) 490-8888

Other practice location 1

7922 Ewing Halsell Dr Ste 360
San Antonio, TX 78229-3898
Phone (210) 614-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
249504MAMDPediatrics Physician
Q6091TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio a Thru Z Pediatrics PA Pediatrics CurrentSince Aug 25, 2025 Accepting new patients
Chelmsford Pediatrics Pediatrics Past Accepting new patients

Locations

2415 E Evans Rd
Ste 109
San Antonio, TX 78259

1314 E Sonterra Blvd
Ste 5102
San Antonio, TX 78258
Phone (210) 490-8888

7922 Ewing Halsell Dr
Ste 360
San Antonio, TX 78229
Phone (210) 614-7500

2415 E Evans Rd
Ste 108
San Antonio, TX 78259
Phone (210) 490-8888

5000 Schertz Pkwy
Ste 300
Schertz, TX 78154
Phone (210) 775-0909

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/gNshjM5O9NNHo91poBY-hsv5tXiOvke8/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1063703858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 E EVANS RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592806",
            "telephone_number": "210-490-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 E EVANS RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592806",
            "telephone_number": "210-490-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7922 Ewing Halsell Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293898",
            "country_code": "US",
            "telephone_number": "210-614-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYALA",
        "first_name": "MOHAN",
        "middle_name": "BABU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "249504",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q6091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.