NPIMap

Organization Active NPI

Texas Urology Group, PA

  • Urology Physician
  • San Antonio, TX
National Provider Identifier
1134586415
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
TEXAS UROLOGY GROUP, PA
Practice address
2833 Babcock Rd
Ste 203
San Antonio, TX 78229-5390
Phone
(210) 365-7199
NPI assigned
Jan 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Authorized official

Name
Ian Thompson, MDNPI 1720271265
Title
Owner
Phone
(210) 365-7199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

2833 Babcock Rd
Ste 203
San Antonio, TX 78229-5390

Mailing address

2833 Babcock Rd
Ste 203
San Antonio, TX 78229-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160216002100 TX Part B Supplier - Clinic/Group Practice 8325343155 Receives reassigned benefits from 11 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

11212 State Highway 151
Ste 205
San Antonio, TX 78251
Phone (210) 703-8955

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1134586415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 BABCOCK RD",
            "address_2": "STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 BABCOCK RD",
            "address_2": "STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295390",
            "telephone_number": "210-365-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS UROLOGY GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-365-7199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.