Individual provider Active NPI

Hector Edwin Tamayo, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1104832930
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K7915 Issued in TX
Practice address
302 W Rhapsody Dr
San Antonio, TX 78216-3108
Phone
(210) 521-6328
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K7915 TX Primary

Addresses

Primary practice location

302 W Rhapsody Dr
San Antonio, TX 78216-3108

Mailing address

302 W Rhapsody Dr
San Antonio, TX 78216-3108
Phone (210) 521-6328

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.
Opted out of Medicare
Previously, effective Sep 7, 2016 through Sep 7, 2026

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Faith Medical, PA Internal Medicine CurrentSince Mar 27, 2022 Accepting new patients
Professional Imaging, PLLC Past Accepting new patients

Locations

10103 W Loop 1604 N
Ste 101
San Antonio, TX 78254
Phone (210) 521-6328

302 W Rhapsody Dr
San Antonio, TX 78216
Phone (210) 521-6328

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1104832930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W RHAPSODY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163108",
            "telephone_number": "210-521-6328",
            "fax_number": "210-521-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W RHAPSODY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163108",
            "telephone_number": "210-521-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "HECTOR",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.