Individual provider Active NPI

Chelsea I. Clinton, M.D.

  • Rheumatology Physician
  • San Antonio, TX
National Provider Identifier
1104008952
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
M8609 Issued in TX
Practice address
18585 Sigma Rd Ste 102
San Antonio, TX 78258-4204
Phone
(210) 591-0688
Fax
(210) 546-1238
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X M8609 TX Primary

Addresses

Primary practice location

18585 Sigma Rd Ste 102
San Antonio, TX 78258-4204

Mailing address

11844 Bandera Rd
Num 706
Helotes, TX 78023-4498
Phone (210) 591-0688

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
I20090330000731 TX Practitioner - RheumatologyPractitioner - Internal Medicine 9133286529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18585 Sigma Rd
Suite 102
San Antonio, TX 78258-4204
Phone (210) 591-0688

Hospital & facility affiliations

  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ciclinton Rheumatology PLLC Rheumatology CurrentSince Jun 12, 2009 Accepting new patients
Major Hospital Past Accepting new patients

Locations

11844 Bandera Rd
Helotes, TX 78023
Phone (210) 319-9807

18585 Sigma Rd
Ste 102
San Antonio, TX 78258
Phone (210) 591-0688

17503 La Cantera Pkwy
Ste 434
San Antonio, TX 78257

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACGIAA/Endpoint/ACGIAA

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.

Hospital & facility affiliations 1

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1104008952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11844 BANDERA RD",
            "address_2": "NUM 706",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234498",
            "telephone_number": "210-591-0688",
            "fax_number": "210-546-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18585 SIGMA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584204",
            "telephone_number": "210-591-0688",
            "fax_number": "210-546-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "CHELSEA",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "M8609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.