Active NPI
Edward A Porrata, M.D.
- Pediatrics Physician
- New Braunfels, TX
National Provider Identifier
1114944048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G2206
- Practice address
- 312 FM 306 Ste 108
New Braunfels, TX 78130-0301 - Phone
- (830) 302-4260
- Fax
- (830) 214-6530
- NPI assigned
- Jul 16, 2006
- Last updated
- Apr 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G2206 | TX | Primary |
Addresses
Primary practice location
312 FM 306 Ste 108
New Braunfels, TX 78130-0301
Mailing address
PO Box 701950
San Antonio, TX 78270-1950
Phone (210) 981-1975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8BW920 | Other | TX | BCBSTX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G2206 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Emergency Partners LLC | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Past | Accepting new patients |
Locations
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1164770996
-
dba BCM Physicians of San Antonio
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1114944048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 701950",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782701950",
"telephone_number": "210-981-1975",
"fax_number": "210-614-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 FM 306 STE 108",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781300301",
"telephone_number": "830-302-4260",
"fax_number": "830-214-6530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORRATA",
"first_name": "EDWARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "G2206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8BW920",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
- Alisha Ann Ponce, PT, DPT
- Rachel Ponder
- Poonam Manasa, M.D. P.a.
- Abigail Popp, DC
- Lisa Anne Poppen, MA, LPC
- Post Acute Medical of New Braunfels, LLC (PAM Specialty Hospital of New Braunfels)
- Richard Jordan Post, M.D.
- Michael Goodman Poston, DDS
- Ana Alicia Amoricity Potthast, DSW, LCSW, LCDC
- Casey Noel Powers, LMFT LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.