Organization Active NPI

Texas Medical and Sleep Specialists, PLLC

  • Pediatric Sleep Medicine Physician
  • San Antonio, TX
National Provider Identifier
1164668299
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
Legal business name
TEXAS MEDICAL AND SLEEP SPECIALISTS, PLLC
Practice address
4114 Pond Hill Road
Suite 101
San Antonio, TX 78231
Phone
(210) 249-5020
Fax
(210) 572-1540
NPI assigned
Dec 19, 2008
Last updated
Jul 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Dr. Joshua Simon Rotenberg, MD
Title
MD/Partner
Phone
(210) 249-5020

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Pediatric Nurse Practitioner 363LP0200X NU
Internal Medicine Physician 207R00000X NU
Pediatrics Physician 208000000X NU
Pediatric Pulmonology Physician 2080P0214X NU
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU
Pediatric Sleep Medicine Physician 2080S0012X NU Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X NU

Addresses

Primary practice location

4114 Pond Hill Road
Suite 101
San Antonio, TX 78231

Mailing address

4114 Pond Hill Road
Suite 101
San Antonio, TX 78231
Phone (210) 249-5020

Other identifiers 3

IdentifierTypeStateIssuer
0A5043OtherTXMEDICARE- HOUSTON
2051328-01MedicaidTX
OA3909OtherTXMEDICARE- SAN ANTONIO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090526000454 TX Part B Supplier - Clinic/Group Practice 6901955814 Receives reassigned benefits from 10 practitioners
Practice locations: New Braunfels, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Locations

4114 Pond Hill Rd
Ste 101
San Antonio, TX 78231

4114 Pond Hill Rd
Ste 102
San Antonio, TX 78231
Phone (210) 761-5448

4374 Lockhill Selma Rd
Ste 107
San Antonio, TX 78249

5307 Broadway
Ste 200
San Antonio, TX 78209
Phone (210) 824-3130

707 Zarzamora
Ste 304
San Antonio, TX 78207

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1164668299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 POND HILL ROAD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78231",
            "telephone_number": "210-249-5020",
            "fax_number": "210-572-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 POND HILL ROAD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78231",
            "telephone_number": "210-249-5020",
            "fax_number": "210-572-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MEDICAL AND SLEEP SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "ROTENBERG",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "MD/PARTNER",
        "authorized_official_telephone_number": "210-249-5020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- HOUSTON",
            "identifier": "0A5043",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2051328-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- SAN ANTONIO",
            "identifier": "OA3909",
            "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 Jul 9, 2014; 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.