Individual provider Active NPI

Carson Cope Petrash, MD

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1194221648
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
U4600 Issued in TX
Practice address
21 Spurs LN
San Antonio, TX 78240-1669
Phone
(800) 833-5921
Fax
(713) 513-5613
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X U4600 TX
Ophthalmology Physician 207W00000X U4600 TX Primary

Addresses

Primary practice location

21 Spurs LN
San Antonio, TX 78240-1669

Mailing address

21 Spurs LN
San Antonio, TX 78240-1669
Phone (800) 833-5921

Other identifiers 1

IdentifierTypeStateIssuer
36379873OtherTXTEXAS DRIVERS LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230613002118 TX Practitioner - Ophthalmology 6901216175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at San Antonio, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of Houston PLLCGroup PAC ID 6103841820, 26 clinicians

Practice addresses (Care Compare)

21 Spurs LN
San Antonio, TX 78240-1669
Phone (800) 833-5921

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U4600TXMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Houston PLLC Ophthalmology CurrentSince May 1, 2025 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2023 Accepting new patients
University of Texas Health Science Center at San Antonio Ophthalmology Current Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology CurrentSince May 1, 2025 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jul 1, 2023 Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology Past Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology Past Accepting new patients

Locations

116 Herff Rd
Ste 101
Boerne, TX 78006

2620 Highway 36 S
Brenham, TX 77833

1446 Sidney Baker St
Kerrville, TX 78028
Phone (830) 792-4466

400 Bypass Ln
Ste 105
Livingston, TX 77352
Phone (936) 327-7812

218 E Austin St
New Braunfels, TX 78130
Phone (830) 625-6905

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

1314 E Sonterra Blvd
Ste 2104
San Antonio, TX 78258

701 S Zarzamora St
San Antonio, TX 78207
Phone (210) 358-7000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

21 Spurs Ln
San Antonio, TX 78240
Phone (210) 614-0187

10439 State Highway 151
San Antonio, TX 78251

17017 Interstate 35 N
Schertz, TX 78154

908 E Court St
Seguin, TX 78155
Phone (830) 379-1618

Interoperability endpoints

  • Direct secure messaging: cpetrash@houstonretina.intellechartdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1194221648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401669",
            "telephone_number": "800-833-5921",
            "fax_number": "713-513-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401669",
            "telephone_number": "800-833-5921",
            "fax_number": "713-513-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRASH",
        "first_name": "CARSON",
        "middle_name": "COPE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "U4600",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "U4600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DRIVERS LICENSE",
            "identifier": "36379873",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.