Organization Active NPI

Alexander S. Roka M.D. P.a.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1154569655
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALEXANDER S. ROKA M.D. P.A.
Practice address
20658 Stone Oak Pkwy Unit 108
San Antonio, TX 78258-7361
Phone
(210) 403-3220
Fax
(210) 403-3221
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Mr. James Ivy
Title
Director of Operations
Phone
(210) 403-3220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

20658 Stone Oak Pkwy Unit 108
San Antonio, TX 78258-7361

Mailing address

20658 Stone Oak Pkwy Unit 108
San Antonio, TX 78258-7361
Phone (210) 403-3220

Other practice location 1

7333 Barlite Blvd Ste 380
San Antonio, TX 78224-1359
Phone (210) 403-3220

Other identifiers 1

IdentifierTypeStateIssuer
0009EJOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090619000300 TX Part B Supplier - Clinic/Group Practice 2860543592 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

4006 Nogalitos
Fl First
San Antonio, TX 78211
Phone (210) 921-0049

Practitioners & affiliated clinicians

Practitioners 2

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": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1154569655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20658 STONE OAK PKWY UNIT 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587361",
            "telephone_number": "210-403-3220",
            "fax_number": "210-403-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20658 STONE OAK PKWY UNIT 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587361",
            "telephone_number": "210-403-3220",
            "fax_number": "210-403-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7333 Barlite Blvd Ste 380",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782241359",
            "country_code": "US",
            "telephone_number": "210-403-3220",
            "fax_number": "210-403-3221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEXANDER S. ROKA M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "IVY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "210-403-3220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0009EJ",
            "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 Apr 2, 2025; 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.