Active NPI
Felix Roberto Shardonofsky, M.D.
- Pediatric Pulmonology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- J9805
- Practice address
- 333 N Santa Rosa St
Suite F2669
San Antonio, TX 78207-3108 - Phone
- (210) 704-4708
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | J9805 | TX | Primary |
Addresses
Primary practice location
333 N Santa Rosa St
Suite F2669
San Antonio, TX 78207-3108
Mailing address
315 N San Saba
Suite 1003
San Antonio, TX 78207-3154
Phone (210) 704-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126552216 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-4849
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients |
Locations
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
1102 Bates Ave
Houston, TX 77030
Phone (832) 822-4556
333 N Santa Rosa
Ste F2669
San Antonio, TX 78207
Phone (210) 704-4100
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
Interoperability endpoints
- fshardonofsky413760@christushealth.direct-ci.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1225097546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N SAN SABA",
"address_2": "SUITE 1003",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073154",
"telephone_number": "210-704-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N SANTA ROSA ST",
"address_2": "SUITE F2669",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073108",
"telephone_number": "210-704-4708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARDONOFSKY",
"first_name": "FELIX",
"middle_name": "ROBERTO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "TX",
"license": "J9805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126552216",
"state": "TX"
}
],
"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 Sep 30, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.