Individual provider Active NPI

Isaac Kwarteng, DO

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1235134081
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0464 Issued in TX
Practice address
13722 Embassy Row
San Antonio, TX 78216-2000
Phone
(210) 349-5577
NPI assigned
Jun 17, 2005
Last updated
Jun 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M0464 TX Primary

Addresses

Primary practice location

13722 Embassy Row
San Antonio, TX 78216-2000

Mailing address

13722 Embassy Row
San Antonio, TX 78216-2000
Phone (210) 349-5577

Other identifiers 1

IdentifierTypeStateIssuer
172776001MedicaidTX

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
I20050510000547 TX Practitioner - Preventive MedicinePractitioner - Family Practice 9335117654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

11811 Blanco Rd
San Antonio, TX 78216-2407
Phone (210) 341-5588

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

323 N Loop 1604
San Antonio, TX 78232-1016
Phone (210) 549-5893

426 Singing Oaks
Spring Branch, TX 78070-6508
Phone (830) 632-5740

7460N Interstate 35
San Antonio, TX 78218-2700
Phone (210) 655-5529

8341 Agora Pkwy
Selma, TX 78154-1316
Phone (210) 659-5533

9885W Interstate 10
San Antonio, TX 78230-2245
Phone (210) 696-5599

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC Current Accepting new patients
TMC Provider Group PLLC Family Medicine CurrentSince Jun 2, 2021 Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

Organizations & group practices 2

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1235134081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13722 EMBASSY ROW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162000",
            "telephone_number": "210-349-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13722 EMBASSY ROW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162000",
            "telephone_number": "210-349-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWARTENG",
        "first_name": "ISAAC",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172776001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.