Individual provider Active NPI

James Anthony Rider, D.O.

  • Family Medicine Physician
  • Seguin, TX
National Provider Identifier
1154640993
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P1920 Issued in TX
Practice address
1414 E Walnut St
Seguin, TX 78155-5175
Phone
(830) 379-7901
Fax
(830) 401-0737
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P1920 TX Primary

Addresses

Primary practice location

1414 E Walnut St
Seguin, TX 78155-5175

Mailing address

PO Box 1206
Seguin, TX 78156-1206
Phone (830) 379-7901

Other identifiers 2

IdentifierTypeStateIssuer
311428201MedicaidTX
8DM981OtherTXBCBS

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
I20120910000032 TX Practitioner - Family PracticePractitioner - Hospitalist 1850577511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guadalupe County Hospital BoardGroup PAC ID 5496653842, 31 clinicians
Guadalupe Family Health, PAGroup PAC ID 7113079112, 6 clinicians

Practice addresses (Care Compare)

1215 E Court
HBP Cardiology Group
Seguin, TX 78155-5129
Phone (830) 379-2411

1215 E Court St
Seguin, TX 78155-5129
Phone (830) 379-2411

1414 E Walnut St
Seguin, TX 78155-5175
Phone (830) 379-7901

Hospital & facility affiliations

  • Advanced Home Health Services Home health agency, Seguin, TX, CCN 677247
  • Halcyon Home LLC Home health agency, Austin, TX, CCN 747931
  • Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104
  • Avir at Seguin Nursing home, Seguin, TX, CCN 675641

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as individual
Quality
95.79
Improvement activities
40
Cost
69.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions27
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Family Health, PA Family Medicine CurrentSince Aug 1, 2012 Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients

Locations

1414 E Walnut St
Seguin, TX 78155
Phone (830) 379-0299

Organizations & group practices 2

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 6

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1154640993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1206",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781561206",
            "telephone_number": "830-379-7901",
            "fax_number": "830-401-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E WALNUT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555175",
            "telephone_number": "830-379-7901",
            "fax_number": "830-401-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311428201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DM981",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.