John David Hierholzer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L9732 Issued in TX

Practice address

12000 Huebner Rd
Suite 104
San Antonio, TX 78230-1209

Phone

(210) 561-2422

Fax

(210) 561-2466

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4066/brand/1/csg/1/fhir/r4

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.

• Health by Design Medical Group

  dba Health By Design

  • Primary Care Clinic/Center
  • San Antonio, TX
  • NPI 1487838611
  NPD (past)
• High Country Community Rural Health Clinic

  • Medical Physician Assistant
  • Dalhart, TX
  • NPI 1699943191
  NPD (past)
• Southwest Doctors PA

  • Preferred Provider Organization
  • Houston, TX
  • NPI 1871592097
  NPD (past)
• Suncoast Medical Group Inc

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1376810341
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1215912118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 HUEBNER RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301209",
            "telephone_number": "210-561-2422",
            "fax_number": "210-561-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 HUEBNER RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301209",
            "telephone_number": "210-561-2422",
            "fax_number": "210-561-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIERHOLZER",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1737520-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0099MT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rae Ann Hidalgo, PA-C
• Raul Hidalgo, DPM
• Selena Treadway Hidalgo, LCSW
• Taylor Hidalgo, FNP-C
• Andita Dwi Hidayati, MD
• Cameron Hierstein
• Maureen M Hiett, PTA
• Kenneth Higby, M.D.
• Amy Lynn Higdon, LPC
• Sandra Pruitt Higginbotham, MA, LPC, NCC, MBA

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.