Individual provider Active NPI

Gustavo E. Guajardo Salinas, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Antonio, TX
National Provider Identifier
1144403387
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
P0392 Issued in TX
Practice address
18707 Hardy Oak Blvd Ste 320
San Antonio, TX 78258-4890
Phone
(210) 614-0880
Fax
(210) 692-0258
NPI assigned
Dec 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X P0392 TX Primary

Addresses

Primary practice location

18707 Hardy Oak Blvd Ste 320
San Antonio, TX 78258-4890

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

#7 Shackleford West Blvd.
Little Rock, AR 72211-3714
Phone (501) 664-5860

Other practice location 2

8715 Village Dr Ste 608
San Antonio, TX 78217-5407
Phone (210) 298-4311

Other identifiers 2

IdentifierTypeStateIssuer
375784102MedicaidTX
E-8210OtherARMED. LICENSE

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
I20170814001885 TX Practitioner - Thoracic SurgeryPractitioner - General Surgery 9537391958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

18707 Hardy Oak Blvd
Suite 320
San Antonio, TX 78258-4890
Phone (210) 545-6972

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0392TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jun 24, 2017 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 24, 2017 Accepting new patients
Texas Oncology PA CurrentSince Dec 1, 2020 Accepting new patients
Texas Oncology PA CurrentSince Dec 1, 2020 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1448 E Common St
New Braunfels, TX 78130
Phone (830) 643-1762

8715 Village Dr
Ste 608
San Antonio, TX 78217
Phone (210) 298-4311

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

5206 Research Dr
San Antonio, TX 78240

8715 Village Dr
San Antonio, TX 78217
Phone (210) 297-2550

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

8711 Village Dr
Ste 114
San Antonio, TX 78217
Phone (210) 297-2244

18707 Hardy Oak Blvd
Ste 320
San Antonio, TX 78258
Phone (210) 545-6972

Interoperability endpoints

  • Direct secure messaging: gustavo.guajardo-salinas@txo.ikm.direct-ci.com
  • Direct secure messaging: gguajardo415943@christushealth.direct-ci.net

Organizations & group practices 5

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 10

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1144403387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD STE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584890",
            "telephone_number": "210-614-0880",
            "fax_number": "210-692-0258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "#7 Shackleford West Blvd.",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722113714",
            "country_code": "US",
            "telephone_number": "501-664-5860",
            "fax_number": "501-664-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8715 Village Dr Ste 608",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175407",
            "country_code": "US",
            "telephone_number": "210-298-4311",
            "fax_number": "210-798-4317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUAJARDO SALINAS",
        "first_name": "GUSTAVO",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "P0392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375784102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED. LICENSE",
            "identifier": "E-8210",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.