Organization Active NPI

Maria R Lomba , M.D.,P.a.

  • Specialist
  • New Braunfels, TX
National Provider Identifier
1194905588
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J5174 Issued in TX
Legal business name
MARIA R LOMBA , M.D.,P.A.
Practice address
1528 E Common St
Ste 18
New Braunfels, TX 78130-3337
Phone
(830) 625-8200
Fax
(830) 620-6888
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Maria R Lomba, MDNPI 1841395142
Title
Owner/Physician
Phone
(830) 625-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J5174 TX Primary

Addresses

Primary practice location

1528 E Common St
Ste 18
New Braunfels, TX 78130-3337

Mailing address

1528 E Common St
Ste 18
New Braunfels, TX 78130-3337
Phone (830) 625-8200

Other identifiers 2

IdentifierTypeStateIssuer
00251LOtherTXBCBS
140812201MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110412001053 TX Part B Supplier - Clinic/Group Practice 0547444713 Receives reassigned benefits from 1 practitioner
Practice locations: New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

1528 E Common St
Ste 18
New Braunfels, TX 78130
Phone (210) 516-5033

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1194905588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 E COMMON ST",
            "address_2": "STE 18",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303337",
            "telephone_number": "830-625-8200",
            "fax_number": "830-620-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 E COMMON ST",
            "address_2": "STE 18",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303337",
            "telephone_number": "830-625-8200",
            "fax_number": "830-620-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA R LOMBA , M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "LOMBA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "830-625-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J5174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00251L",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140812201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.