Individual provider Active NPI

Kent Rohweder, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1073588513
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J0788 Issued in TX
Practice address
311 Camden St
Suite 208
San Antonio, TX 78215-2012
Phone
(210) 892-0228
Fax
(210) 455-0169
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X J0788 TX
Diagnostic Radiology Physician 2085R0202X J0788 TX Primary

Addresses

Primary practice location

311 Camden St
Suite 208
San Antonio, TX 78215-2012

Mailing address

311 Camden St
Suite 208
San Antonio, TX 78215-2012
Phone (210) 892-0228

Other identifiers 2

IdentifierTypeStateIssuer
138157615MedicaidTX
138157616OtherTXCSHCN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040604000392 TX Practitioner - Diagnostic Radiology 7517949381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Colorado School of Medicine, Denver, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2121 SW 36TH St
San Antonio, TX 78237-3360
Phone (210) 450-9000

25723 Old Fredericksburg Rd
Boerne, TX 78015-6605
Phone (210) 450-9000

4306 De Zavala Rd
BLDG 1
San Antonio, TX 78249-4590
Phone (210) 450-6720

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

4647 Medical Dr
San Antonio, TX 78229-4403
Phone (210) 450-9000

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 450-9000

7946 N Loop 1604
San Antonio, TX 78249-5174
Phone (210) 450-9000

8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone (210) 450-9000

8311 Ewing Halsell Dr
San Antonio, TX 78229-3741
Phone (210) 450-7044

8431 Fredericksburg Rd
San Antonio, TX 78229-3392

903 W Martin St
San Antonio, TX 78207-0903
Phone (210) 358-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0788TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
M&S Radiology Associates, PA CurrentSince Mar 1, 2004 Accepting new patients
VHS San Antonio Partners, LLC Past Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients
Rufino Salinas, M.D., P.a. Past Accepting new patients
Southwest Medical Imaging PA Diagnostic Radiology Past Accepting new patients

Locations

4940 Charles Katz
San Antonio, TX 78229
Phone (210) 450-9700

8311 Ewing Halsell Dr
Fl 1
San Antonio, TX 78229

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

124 Dallas St
San Antonio, TX 78205
Phone (210) 224-1771

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

8300 Floyd Curl Dr
Fl 3A
San Antonio, TX 78229

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

7946 W Loop 1604 N FL 1
San Antonio, TX 78254

8300 Floyd Curl Dr
Fl 4
San Antonio, TX 78229
Phone (210) 450-9600

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

8300 Floyd Curl Dr
Fl 3
San Antonio, TX 78229
Phone (210) 450-9300

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

311 Camden St
Ste 208
San Antonio, TX 78215
Phone (210) 227-6461

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1073588513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST",
            "address_2": "SUITE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152012",
            "telephone_number": "210-892-0228",
            "fax_number": "210-455-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST",
            "address_2": "SUITE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152012",
            "telephone_number": "210-892-0228",
            "fax_number": "210-455-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHWEDER",
        "first_name": "KENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "J0788",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J0788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138157615",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "138157616",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.