Individual provider Active NPI

Alexander A Timchenko, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Fort Sam Houston, TX
National Provider Identifier
1134286487
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
Q4863 Issued in TX
Practice address
Pain Medicine Clinic
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234
Phone
(210) 916-2888
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Q4863 TX Primary

Addresses

Primary practice location

Pain Medicine Clinic
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234

Mailing address

9026 Culebra Rd Ste 101
San Antonio, TX 78251-2882
Phone (210) 233-9331

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
I20150903000850 TX Practitioner - Pain Management 5597905869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2425 Babcock Rd
Suite 108
San Antonio, TX 78229-4898

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q4863TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Consultants, PLLC Pain Medicine CurrentSince Jul 27, 2015 Accepting new patients
Larina V Gutenberg DO PLLC Pain Medicine CurrentSince Jan 1, 2019 Accepting new patients
Premier Pain Consultants, PLLC Pain Medicine CurrentSince Jul 27, 2015 Accepting new patients
Gastrointestinal Specialists SC Past Accepting new patients
Comprehensive Pain Management of the Fox Valley, SC Pain Medicine Past Accepting new patients
New Anesthesiology SC Past Accepting new patients
Comprehensive Pain Management of the Fox Valley, S.C. Pain Medicine Past Accepting new patients

Locations

5522 Lone Star Pkwy
Bldg 2
San Antonio, TX 78253
Phone (210) 298-4900

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

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

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

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1134286487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9026 CULEBRA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512882",
            "telephone_number": "210-233-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PAIN MEDICINE CLINIC",
            "address_2": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-916-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMCHENKO",
        "first_name": "ALEXANDER",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q4863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.