Individual provider Active NPI

Dmitriy Buyanov, M.D.

  • Interventional Pain Medicine Physician
  • San Antonio, TX
National Provider Identifier
1124047261
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
L7996 Issued in TX
Practice address
2425 Babcock Rd Ste 108
San Antonio, TX 78229-4899
Phone
(210) 775-3455
Fax
(210) 775-3455
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X L7996 TX
Interventional Pain Medicine Physician 208VP0014X L7996 TX Primary

Addresses

Primary practice location

2425 Babcock Rd Ste 108
San Antonio, TX 78229-4899

Mailing address

2425 Babcock Rd Ste 108
San Antonio, TX 78229-4899
Phone (210) 775-3455

Other identifiers 1

IdentifierTypeStateIssuer
166300703MedicaidTX

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
I20040601000952 TX Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 2567444987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Premier Pain Consultants PLLCGroup PAC ID 0840241865, 3 clinicians

Practice addresses (Care Compare)

2425 Babcock Rd
Suite 108
San Antonio, TX 78229-4899

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Consultants, PLLC Pain Medicine CurrentSince Sep 8, 2009 Accepting new patients
Premier Pain Consultants, PLLC Pain Medicine CurrentSince Jun 21, 2012 Accepting new patients
D Buyanov MD PLLC Interventional Pain Medicine CurrentSince Jan 1, 2025 Accepting new patients
Premier Pain Consultants, PA Pain Medicine PastSince Jan 1, 1990 Accepting new patients
Premier Pain Consultants, PLLC PastSince Jan 1, 1990 Accepting new patients
Premier Pain Consultants, PLLC Interventional Pain Medicine PastSince Jan 1, 1990 Accepting new patients
Medsurg Alliance, P.a. Past Accepting new patients

Locations

11212 State Highway 151
Ste 360
San Antonio, TX 78251
Phone (210) 520-4100

2425 Babcock Rd
Ste 106
San Antonio, TX 78229
Phone (210) 255-8084

2425 Babcock Rd
San Antonio, TX 78229
Phone (210) 616-9400

540 Madison Oak Dr
Ste 400
San Antonio, TX 78258
Phone (210) 402-3456

2425 Babcock Rd
Ste 108
San Antonio, TX 78229
Phone (210) 298-9004

Organizations & group practices 7

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1124047261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294899",
            "telephone_number": "210-775-3455",
            "fax_number": "210-775-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294899",
            "telephone_number": "210-775-3455",
            "fax_number": "210-775-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUYANOV",
        "first_name": "DMITRIY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "L7996",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L7996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166300703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.