Organization Active NPI

Westover Hills Lung Center

  • Pulmonary Disease Physician
  • San Antonio, TX
National Provider Identifier
1083951529
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
N5273 Issued in TX
Legal business name
WESTOVER HILLS LUNG CENTER
Practice address
3303 Rogers Road
Rogers Road Medical Plaza Suite 250
San Antonio, TX 78251
Phone
(210) 417-4142
Fax
(210) 702-3372
NPI assigned
Jan 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Sasikanth Nallagatla, M.DNPI 1366603722
Title
President
Phone
(210) 370-2333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X N5273 TX Primary

Addresses

Primary practice location

3303 Rogers Road
Rogers Road Medical Plaza Suite 250
San Antonio, TX 78251

Mailing address

10004 Wurzbach Rd
Suite 301
San Antonio, TX 78230-2214
Phone (210) 370-2333

Other identifiers 1

IdentifierTypeStateIssuer
345733501MedicaidTX

Other names 1

  • SASIKANTH NALLAGATLA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141231000349 TX Part B Supplier - Clinic/Group Practice 5890018659 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

11212 State Highway 151
Ste 190
San Antonio, TX 78251
Phone (210) 402-6561

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1083951529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 WURZBACH RD",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302214",
            "telephone_number": "210-370-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 ROGERS ROAD",
            "address_2": "ROGERS ROAD MEDICAL PLAZA SUITE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-417-4142",
            "fax_number": "210-702-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTOVER HILLS LUNG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "NALLAGATLA",
        "authorized_official_first_name": "SASIKANTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-370-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "N5273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345733501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SASIKANTH NALLAGATLA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.