Individual provider Active NPI

Valerie Deremer, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1194349654
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
18290 Issued in TX
Practice address
1200 Brooklyn Ave Ste 320
San Antonio, TX 78212-4810
Phone
(210) 229-7242
Fax
(210) 227-5092
NPI assigned
Jun 1, 2020
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 18290 TX Primary

Addresses

Primary practice location

1200 Brooklyn Ave Ste 320
San Antonio, TX 78212-4810

Mailing address

1200 Brooklyn Ave Ste 320
San Antonio, TX 78212-4810
Phone (210) 229-7242

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112002307 TX Practitioner - Physician Assistant 1759815822 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
18290TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Oct 21, 2024 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Oct 21, 2024 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Past Accepting new patients

Locations

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1194349654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROOKLYN AVE STE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124810",
            "telephone_number": "210-229-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKLYN AVE STE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124810",
            "telephone_number": "210-229-7242",
            "fax_number": "210-227-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREMER",
        "first_name": "VALERIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "18290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.