Active NPI
Dmitriy Buyanov, M.D.
- Interventional Pain Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- L7996
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166300703 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040601000952 | TX | Practitioner - 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 PLLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Pain Consultants, PLLC | Pain Medicine | Current | Accepting new patients |
| Premier Pain Consultants, PLLC | Pain Medicine | Current | Accepting new patients |
| D Buyanov MD PLLC | Interventional Pain Medicine | Current | Accepting new patients |
| Premier Pain Consultants, PA | Pain Medicine | Past | Accepting new patients |
| Premier Pain Consultants, PLLC | Past | Accepting new patients | |
| Premier Pain Consultants, PLLC | Interventional Pain Medicine | Past | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.