Active NPI
Aubrey Montebello, MD
- Dermatology Physician
- San Antonio, TX
National Provider Identifier
1275102725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101277361
- Practice address
- 1100 Wilford Hall Loop
San Antonio, TX 78236-5638 - Phone
- (210) 292-4277
- NPI assigned
- Jun 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101277361 | VA | Primary |
Addresses
Primary practice location
1100 Wilford Hall Loop
San Antonio, TX 78236-5638
Mailing address
4494 Palmer Rd. North
Bethesda, MD 20814
Other names 1
- Aubrey Johnston
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Washington School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11503 NW Military Hwy
Suite 321
San Antonio, TX 78231-1896
Phone (726) 213-3494
7106 New Sanger Rd
Waco, TX 76712-3928
Phone (254) 537-1265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101277361 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology PA | Dermatology | Current | Accepting new patients |
Locations
7300 Ranch Road 2222
Bldg 1
Austin, TX 78730
11503 NW Military Hwy
Ste 321
San Antonio, TX 78231
Phone (210) 492-1677
Organizations & group practices 1
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.
-
- Dermatology Physician
- Waco, TX
- NPI 1043615263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1275102725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4494 PALMER RD. NORTH",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WILFORD HALL LOOP",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782365638",
"telephone_number": "210-292-4277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEBELLO",
"first_name": "AUBREY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-20",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101277361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUBREY",
"last_name": "JOHNSTON",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.