Organization Active NPI

5 Star Integrity Healthcare, LLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1194210658
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
5 STAR INTEGRITY HEALTHCARE, LLC
Practice address
1300 West Ave Ste 201
San Antonio, TX 78201-3501
Phone
(210) 708-9329
Fax
(210) 817-8686
NPI assigned
Jun 27, 2018
Last updated
Apr 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Patricia V Gomez
Title
Owner
Phone
(210) 708-9329

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
General Practice Physician 208D00000X
Medical Physician Assistant 363AM0700X
Acute Care Nurse Practitioner 363LA2100X
Family Nurse Practitioner 363LF0000X
Women's Health Nurse Practitioner 363LW0102X

Addresses

Primary practice location

1300 West Ave Ste 201
San Antonio, TX 78201-3501

Mailing address

1300 West Ave Ste 201
San Antonio, TX 78201-3501
Phone (210) 708-9329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180814002121 TX Part B Supplier - Clinic/Group Practice 0143579888 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

1300 West Ave
Ste 201
San Antonio, TX 78201
Phone (210) 708-9329

311 Future Dr
Ste 103
San Antonio, TX 78213
Phone (210) 708-9329

Practitioners & affiliated clinicians

Practitioners 2

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": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1194210658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WEST AVE STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013501",
            "telephone_number": "210-708-9329",
            "fax_number": "210-817-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WEST AVE STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013501",
            "telephone_number": "210-708-9329",
            "fax_number": "210-817-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR INTEGRITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-708-9329"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 27, 2020; 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.