Individual provider Active NPI

Paul Michalovich Royal-Priest

  • Geriatric Medicine (Family Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1093036329
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
R1630 Issued in TX
Practice address
3619 Paesanos Pkwy Ste 112
San Antonio, TX 78231-1263
Phone
(726) 234-3227
Fax
(210) 267-1353
NPI assigned
Jun 22, 2010
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 66967 GA
Geriatric Medicine (Family Medicine) Physician 207QG0300X 036132737 IL
Geriatric Medicine (Family Medicine) Physician 207QG0300X R1630 TX Primary

Addresses

Primary practice location

3619 Paesanos Pkwy Ste 112
San Antonio, TX 78231-1263

Mailing address

3619 Paesanos Pkwy Ste 112
San Antonio, TX 78231-1263
Phone (726) 234-3227

Other practice location 1

1333 Butterfield Rd
Suite 130
Downers Grove, IL 60515-5607
Phone (630) 371-0133

Other practice location 2

1333 Butterfield Rd
Suite 130
Downers Grove, IL 60515-5607
Phone (630) 371-0133

Other practice location 3

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone (210) 539-0943

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66967GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric and Physical Therapy of San Antonio PLLC Geriatric Medicine CurrentSince Sep 3, 2025 Accepting new patients
Uvalde County Hospital Authority Past Accepting new patients
Uvalde County Hospital Authority Past Accepting new patients
Emergency Medical Specialists, II, S.C. Past Accepting new patients

Locations

3619 Paesanos Pkwy
Ste 112
Shavano Park, TX 78231
Phone (210) 455-2000

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, 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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1093036329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 PAESANOS PKWY STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311263",
            "telephone_number": "726-234-3227",
            "fax_number": "210-267-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PAESANOS PKWY STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311263",
            "telephone_number": "726-234-3227",
            "fax_number": "210-267-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Butterfield Rd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605155607",
            "country_code": "US",
            "telephone_number": "630-371-0133",
            "fax_number": "630-371-0138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 Butterfield Rd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605155607",
            "country_code": "US",
            "telephone_number": "630-371-0133",
            "fax_number": "630-371-0138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Jbsa Ft Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-539-0943",
            "fax_number": "210-521-2577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROYAL-PRIEST",
        "first_name": "PAUL",
        "middle_name": "MICHALOVICH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "66967",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036132737",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "R1630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.