NPIMap

Individual provider Active NPI

Jibrail Kasperkhan, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1245277300
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M0453 Issued in TX
Practice address
21902 Franklin Park Apt 1306
San Antonio, TX 78259-2193
Phone
(210) 479-1955
Fax
(210) 764-1561
NPI assigned
May 31, 2006
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M0453 TX Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X M0453 TX

Addresses

Primary practice location

21902 Franklin Park Apt 1306
San Antonio, TX 78259-2193

Mailing address

1150 N Loop 1604 W Ste 108-641
San Antonio, TX 78248-4552
Phone (210) 479-1955

Other identifiers 1

IdentifierTypeStateIssuer
171891803MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314000963 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2264487107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rise Up Rehab, LLCGroup PAC ID 3274861497, 118 clinicians
South Texas Healthcare IncGroup PAC ID 1951620848, 2 clinicians

Practice addresses (Care Compare)

16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954

21902 Franklin Park
Apt 1306
San Antonio, TX 78259-2193
Phone (210) 479-1955

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0453TXMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jibrail Kasperkhan, M.D. PLLC Geriatric Medicine CurrentSince Feb 16, 2010 Accepting new patients
South Texas Healthcare Inc Internal Medicine CurrentSince Jan 9, 2015 Accepting new patients
GRCC Holdings LTD PastSince May 16, 2006 Accepting new patients
Hamilton County Hospital District Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
The Seraphic Sisters, Inc. Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients

Locations

1150 N Loop 1604 W
Ste 108629
San Antonio, TX 78248

1150 N Loop 1604 W
Ste 108641
San Antonio, TX 78248

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHJJCA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Silver Tree Nursing and Rehabilitation CenterSchertz, TX, CCN 676121 Skilled nursing facility Adp of the SNF Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1245277300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N LOOP 1604 W STE 108-641",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782484552",
            "telephone_number": "210-479-1955",
            "fax_number": "210-764-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21902 FRANKLIN PARK APT 1306",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592193",
            "telephone_number": "210-479-1955",
            "fax_number": "210-764-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPERKHAN",
        "first_name": "JIBRAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0453",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "M0453",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171891803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.