Individual provider Active NPI

Subhashini S Valavalkar, M.D.

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1235101106
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N7595 Issued in TX
Practice address
11503 NW Military Hwy
Ste 113
San Antonio, TX 78231-1884
Phone
(210) 705-5151
Fax
(210) 853-1541
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N7595 TX Primary
Pediatrics Physician 208000000X 37325 KY

Addresses

Primary practice location

11503 NW Military Hwy
Ste 113
San Antonio, TX 78231-1884

Mailing address

11503 NW Military Hwy
Ste 113
San Antonio, TX 78231
Phone (210) 705-5151

Other identifiers 4

IdentifierTypeStateIssuer
65936305MedicaidKY
2203614MedicaidTX
220361406MedicaidTX
64067515MedicaidKY

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
I20110412000399 TX Practitioner - Pediatric Medicine 3173707494 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37325KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Pediatrics CurrentSince Jan 1, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2022 Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince Jan 25, 2012 Accepting new patients

Locations

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

11503 NW Military Hwy
Ste 113
San Antonio, TX 78231
Phone (210) 705-5151

333 N Santa Rosa
Ste D4023
San Antonio, TX 78207

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: svalavalkar282953@christushealth.direct-ci.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1235101106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HWY",
            "address_2": "STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78231",
            "telephone_number": "210-705-5151",
            "fax_number": "210-853-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HWY",
            "address_2": "STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311884",
            "telephone_number": "210-705-5151",
            "fax_number": "210-853-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALAVALKAR",
        "first_name": "SUBHASHINI",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N7595",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "37325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65936305",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203614",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220361406",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64067515",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.