Active NPI
Kari Jane Teraguchi, M.D.
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1073685095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- V2579
- Practice address
- 14100 San Pedro Ave Ste 600
San Antonio, TX 78232-4363 - Phone
- (210) 281-8669
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 214610 | NY | |
| Pediatrics Physician | 208000000X | V2579 | TX | Primary |
| Pediatrics Physician | 208000000X | 25MA07829800 | NJ |
Addresses
Primary practice location
14100 San Pedro Ave Ste 600
San Antonio, TX 78232-4363
Mailing address
18018 Overlook Loop Ste 105-307
San Antonio, TX 78259-1882
Phone (917) 533-8206
Other practice location 1
21727 Ih 10 W
San Antonio, TX 78257-2106
Phone (210) 698-7663
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V2579 | Other | TX | STATE OF TEXAS |
| 214610 | Other | NY | STATE MEDICAL LICENSE NUM |
| 25MA07829800 | Other | NJ | STATE OF NEW JERSEY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214610 | NY | MD | Pediatrics Physician |
| V2579 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Pediatrics | Current | Accepting new patients |
| Humc Opco LLC | Current | Accepting new patients | |
| Advocare, LLC | Pediatrics | Past | Accepting new patients |
Locations
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- kari.teraguchi@direct.hobokenumc.md
- kteraguchi592108@christushealth.direct-ci.net
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1073685095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18018 OVERLOOK LOOP STE 105-307",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782591882",
"telephone_number": "917-533-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 SAN PEDRO AVE STE 600",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782324363",
"telephone_number": "210-281-8669"
}
],
"practiceLocations": [
{
"address_1": "21727 Ih 10 W",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782572106",
"country_code": "US",
"telephone_number": "210-698-7663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TERAGUCHI",
"first_name": "KARI",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "214610",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "V2579",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07829800",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TEXAS",
"identifier": "V2579",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE NUM",
"identifier": "214610",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEW JERSEY",
"identifier": "25MA07829800",
"state": "NJ"
}
],
"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 May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.