Individual provider Active NPI

Peymaneh Ebadehahwazi

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1255875407
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP132286 Issued in TX
Practice address
4502 Cypress Woods St
San Antonio, TX 78249-1806
Phone
(210) 909-4150
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP132286 TX Primary

Addresses

Primary practice location

4502 Cypress Woods St
San Antonio, TX 78249-1806

Mailing address

4502 Cypress Woods St
San Antonio, TX 78249-1806
Phone (210) 909-4150

Other practice location 1

5294 Belt Line Rd Ste 200
Dallas, TX 75254-7571
Phone (214) 785-2200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170602001379 TX Practitioner - Nurse Practitioner 7810264413 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP132286TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Inpatient Consultants, PLLC CurrentSince May 1, 2017 Accepting new patients
Catapult Health PA CurrentSince Dec 1, 2025 Accepting new patients
Catapult Health, LLC PastSince Dec 1, 2025 Accepting new patients

Locations

5294 Belt Line Rd
Ste 200
Dallas, TX 75254
Phone (214) 785-2200

1302 S General McMullen Dr
Ste 103
San Antonio, TX 78237
Phone (210) 904-8770

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": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1255875407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 CYPRESS WOODS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491806",
            "telephone_number": "210-909-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 CYPRESS WOODS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491806",
            "telephone_number": "210-909-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5294 Belt Line Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752547571",
            "country_code": "US",
            "telephone_number": "214-785-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBADEHAHWAZI",
        "first_name": "PEYMANEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.