Active NPI
Ann O Connor, MD
- Pediatric Surgery Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- T4444
- Practice address
- 333 N Santa Rosa
San Antonio, TX 78207-3108 - Phone
- (713) 798-1750
- Fax
- (713) 798-4693
- NPI assigned
- Jan 9, 2006
- Last updated
- Feb 1, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | T4444 | TX | Primary |
| Pediatric Surgery Physician | 2086S0120X | 036.129744 | IL |
Addresses
Primary practice location
333 N Santa Rosa
San Antonio, TX 78207-3108
Mailing address
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (713) 798-1750
Other practice location 1
25 N. Winfield Road
Winfield, IL 60190
Phone (630) 933-6631 ext. 2463
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aoconnor87484@direct.luhs.org | Other | LOYOLA UNIVERSITY MEDICAL CENTER |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.129744 | IL | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Arizona Pediatric Surgery LTD | Past | Accepting new patients | |
| TMC Medical Network | Past | Accepting new patients | |
| Christus Santa Rosa Health Care Corporation | Past | Accepting new patients |
Locations
1 Baylor Plz
#2
Houston, TX 77030
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
Interoperability endpoints
- aoconnor420727@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BCM Physicians of San Antonio
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
dba Childrens Hospital of San Antonio
- Children's Hospital
- San Antonio, TX
- NPI 1821004151
-
- Specialist
- Tucson, AZ
- NPI 1720111396
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738368000000",
"number": "1154309284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SANTA ROSA",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073108",
"telephone_number": "713-798-1750",
"fax_number": "713-798-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N SANTA ROSA",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073108",
"telephone_number": "713-798-1750",
"fax_number": "713-798-4693"
}
],
"practiceLocations": [
{
"address_1": "25 N. Winfield Road",
"address_purpose": "LOCATION",
"city": "Winfield",
"state": "IL",
"postal_code": "60190",
"country_code": "US",
"telephone_number": "630-933-6631 x2463",
"fax_number": "630-933-4936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O CONNOR",
"first_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2025-02-01",
"certification_date": "2025-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "TX",
"license": "T4444",
"primary": true
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "IL",
"license": "036.129744",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aoconnor87484@direct.luhs.org",
"affiliation": "Y",
"affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2160 S 1st Ave",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "601533328",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 1, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.