Active NPI
Anwar S Gerges MD PLLC
- Nephrology Physician
- San Antonio, TX
National Provider Identifier
1265858492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- J5769
- Legal business name
- ANWAR S GERGES MD PLLC
- Practice address
- 19234 Stonehue
San Antonio, TX 78258-3477 - Phone
- (210) 481-9544
- Fax
- (210) 481-9545
- NPI assigned
- Mar 12, 2014
- Last updated
- Oct 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Ramon
- Title
- Administrator
- Phone
- (210) 481-9544
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | J5769 | TX | Primary |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | M8988 | TX | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | K2111 | TX |
Addresses
Primary practice location
19234 Stonehue
San Antonio, TX 78258-3477
Mailing address
19234 Stonehue
San Antonio, TX 78258-3477
Phone (210) 481-9544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117880802 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11989 Pellicano Dr
El Paso, TX 79936
Phone (915) 856-6363
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- San Antonio, TX
- NPI 1679579700
-
- Nephrology Physician
- San Antonio, TX
- NPI 1922074798
-
- Vascular Surgery Physician
- San Antonio, TX
- NPI 1235217241
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Antonio, TX
- NPI 1063434504
-
- Cardiovascular Disease Physician
- El Paso, TX
- NPI 1629005400
-
- Vascular Surgery Physician
- Tripler Army Medical Center, HI
- NPI 1659514321
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603152000000",
"number": "1265858492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19234 STONEHUE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583477",
"telephone_number": "210-481-9544",
"fax_number": "210-481-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19234 STONEHUE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583477",
"telephone_number": "210-481-9544",
"fax_number": "210-481-9545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANWAR S GERGES MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-12",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A",
"authorized_official_last_name": "RAMON",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "210-481-9544"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "J5769",
"primary": true
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "TX",
"license": "M8988",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "K2111",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117880802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.