NPIMap

Individual provider Active NPI

Jeannie Allyson Baquero, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Antonio, TX
National Provider Identifier
1255301149
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
K5449 Issued in TX
Practice address
1303 McCullough Ave
Suite 374
San Antonio, TX 78212-5615
Phone
(210) 223-5483
Fax
(210) 292-3828
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X K5449 TX Primary

Addresses

Primary practice location

1303 McCullough Ave
Suite 374
San Antonio, TX 78212-5615

Mailing address

2219 Cardigan HL
San Antonio, TX 78212-5615
Phone (210) 545-7056

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
I20090721000243 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 1759433816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulse Physician Organization PLLCGroup PAC ID 2769715853, 17 clinicians
Endocrinology Nuclear Medicine Associates PAGroup PAC ID 5597740100, 3 clinicians

Practice addresses (Care Compare)

119 Medical Park LN
Suite D
Huntsville, TX 77340-4980
Phone (936) 277-7101

1303 McCullough Ave
Suite 374
San Antonio, TX 78212-5615
Phone (210) 223-5483

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.68 of 100Reported as group
Quality
74.45
Improvement activities
40
Cost
79.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse Physician Organization PLLC CurrentSince Jan 1, 2026 Accepting new patients
Endocrinology Nuclear Medicine Associates PA Endocrinology, Diabetes & Metabolism CurrentSince Jun 2, 2009 Accepting new patients
Pulse Healthcare System LLC CurrentSince Jan 14, 2026 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

21212 Northwest Fwy
Ste 405
Cypress, TX 77429
Phone (281) 890-8586

2502 Canal St
Houston, TX 77003
Phone (713) 224-0555

119 Medical Park Ln
Ste D
Huntsville, TX 77340
Phone (936) 277-1000

116 Medical Park Ln
Ste C
Huntsville, TX 77340
Phone (936) 277-1000

7930 Broadway St
Ste 112
Pearland, TX 77581
Phone (281) 997-9616

1303 McCullough Ave
Ste 374
San Antonio, TX 78212
Phone (210) 223-5483

25420 Kuykendahl Rd
Ste 800
Tomball, TX 77375
Phone (346) 794-0001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIBDCA
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1181

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1255301149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 CARDIGAN HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125615",
            "telephone_number": "210-545-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MCCULLOUGH AVE",
            "address_2": "SUITE 374",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125615",
            "telephone_number": "210-223-5483",
            "fax_number": "210-292-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAQUERO",
        "first_name": "JEANNIE",
        "middle_name": "ALLYSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "K5449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.