San Antonio Extended Medical Care, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

SAN ANTONIO EXTENDED MEDICAL CARE, INC.

Doing business as

Med Mart - San Antonio

Practice address

21195 Ih 10 W
Suite 1101
San Antonio, TX 78257-1674

Phone

(210) 697-9933

Fax

(210) 697-8753

NPI assigned

Jul 30, 2005

Organization subpart

No

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

Authorized official

Name

Carlos Barrera

Title

President

Phone

(210) 697-9933

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Med Mart - San Antonio Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• San Antonio Extended Medical Care, Inc.

  dba Med Mart

  • Durable Medical Equipment & Medical Supplies
  • Eagle Pass, TX
  • NPI 1518907237

  9931220050

  Same PAC ID
• San Antonio Extended Medical Care, Inc.

  dba Med Mart

  • Durable Medical Equipment & Medical Supplies
  • Laredo, TX
  • NPI 1720028442

  9931220050

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

San Antonio Extended Me4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• San Antonio Extended Medical Care, Inc.

  dba Med Mart

  • Durable Medical Equipment & Medical Supplies
  • Eagle Pass, TX
  • NPI 1518907237
  NPD tax ID
• San Antonio Extended Medical Care, Inc.

  dba Med Mart

  • Durable Medical Equipment & Medical Supplies
  • Laredo, TX
  • NPI 1720028442
  NPD tax ID
• San Antonio Extended Medical Care, Inc.

  dba Med Mart

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1952793382
  NPD tax ID

Locations

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

{
    "created_epoch": "1122681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1164422143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21195 IH 10 W",
            "address_2": "SUITE 1101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571674",
            "telephone_number": "210-697-9933",
            "fax_number": "210-697-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21195 IH 10 W",
            "address_2": "SUITE 1101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571674",
            "telephone_number": "210-697-9933",
            "fax_number": "210-697-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO EXTENDED MEDICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-30",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-697-9933"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156986-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACM PRIMARY & SECONDARY",
            "identifier": "1023589",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "508280",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0867822-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Mart - San Antonio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Med Mart - San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.