Active NPI
Danny Michael Kofos, M.D.
- Pediatric Critical Care Medicine Physician
- San Antonio, TX
National Provider Identifier
1174589378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- K8266
- Practice address
- 7700 Floyd Curl Dr
San Antonio, TX 78229-3902 - Phone
- (210) 575-6919
- Fax
- (210) 575-4013
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K8266 | TX | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | K8266 | TX | Primary |
Addresses
Primary practice location
7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Mailing address
8109 Fredericksburg Rd
Physician Practice Services
San Antonio, TX 78229-3311
Phone (210) 575-6919
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105043711 TRAD | Medicaid | TX | |
| 105043712 CSN | Medicaid | TX | |
| 8DL540 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Critical Care Specialists PLLC | Pediatrics | Past | Accepting new patients |
| Texas Institute of Medicine and Surgery | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- danny.kofos@direct.myhealthep.org
- danny.kofos@hca7.eclinicaldirectplus.com
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.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1598921223
Pediatrics
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- NPI 1376501668
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1174589378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8109 FREDERICKSBURG RD",
"address_2": "PHYSICIAN PRACTICE SERVICES",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293311",
"telephone_number": "210-575-6919",
"fax_number": "210-575-4013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 FLOYD CURL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293902",
"telephone_number": "210-575-6919",
"fax_number": "210-575-4013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOFOS",
"first_name": "DANNY",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K8266",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "K8266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105043711 TRAD",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105043712 CSN",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8DL540",
"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 May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.