Active NPI
Tomas Coronado, M.D.
- Ophthalmology Physician
- San Antonio, TX
National Provider Identifier
1184669830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- F6541
- Practice address
- 730 N Main
Suite 719
San Antonio, TX 78205-1152 - Phone
- (210) 271-0818
- NPI assigned
- Jun 17, 2006
- Last updated
- Jun 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | F6541 | TX | Primary |
Addresses
Primary practice location
730 N Main
Suite 719
San Antonio, TX 78205-1152
Mailing address
730 N Main
Suite 719
San Antonio, TX 78205-1152
Phone (210) 271-0818
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000QL64 | Other | TX | BLUE CROSS/BLUE SHIELD |
| 120097402 | Medicaid | TX | |
| 4059998 | Other | AETNA | |
| 742447517 | Other | TRICARE | |
| 17424475170001 | Other | TX | STATE OF TEXAS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100806000438 | TX | Practitioner - Ophthalmology | 7719010073 | Practice locations: San Antonio, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Texas Medical School at San Antonio, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
730 N Main
Suite 719
San Antonio, TX 78205-1117
Phone (210) 271-0818
730 N Main Ave
San Antonio, TX 78205-1117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F6541 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tomas Coronado MD | Current | Accepting new patients |
Locations
730 N Main Ave
Ste 719
San Antonio, TX 78205
Phone (210) 271-0818
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmologic Surgery Clinic/Center
- San Antonio, TX
- NPI 1285906479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1184669830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 N MAIN",
"address_2": "SUITE 719",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782051152",
"telephone_number": "210-271-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 N MAIN",
"address_2": "SUITE 719",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782051152",
"telephone_number": "210-271-0818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONADO",
"first_name": "TOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "F6541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000000QL64",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120097402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4059998",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "742447517",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TEXAS",
"identifier": "17424475170001",
"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 Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.