Individual provider Active NPI

Guy William Nicolette, MD

  • Sports Medicine (Family Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1104885524
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
U3607 Issued in TX
Practice address
8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone
(210) 450-9300
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U3607 TX
Sports Medicine (Family Medicine) Physician 207QS0010X U3607 TX Primary

Addresses

Primary practice location

8300 Floyd Curl Dr
San Antonio, TX 78229-3931

Mailing address

8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone (210) 450-9300

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
I20230614002692 TX Practitioner - Family PracticePractitioner - Sports Medicine 2163556101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Texas Medical School at San Antonio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone (210) 450-9000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine Current Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince May 1, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince May 1, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine Current Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

900 Lafayette St
Ste 105
Santa Clara, CA 95050
Phone (408) 556-8407

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

25723 Old Fredericksburg Rd
Boerne, TX 78015
Phone (210) 450-6800

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Interoperability endpoints

  • Direct secure messaging: gnicolette39494@direct.utmsa.com
  • Direct secure messaging: guy.nicolette.p1@direct.orthonorcal.nextgenshare.com
  • Direct secure messaging: guy.nicolette.p2@direct.muirortho.nextgenshare.com
  • Direct secure messaging: guy.nicolette@8734917853188.direct.elationemr.com

Organizations & group practices 5

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1104885524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293931",
            "telephone_number": "210-450-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293931",
            "telephone_number": "210-450-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLETTE",
        "first_name": "GUY",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U3607",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "U3607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.