Individual provider Active NPI

Dina X Goytia-Leos, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1275503526
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K9290 Issued in TX
Practice address
202 W Sunset Rd # 2
San Antonio, TX 78209-2635
Phone
(210) 598-6008
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K9290 TX Primary

Addresses

Primary practice location

202 W Sunset Rd # 2
San Antonio, TX 78209-2635

Mailing address

202 W Sunset Rd # 2
San Antonio, TX 78209-2635
Phone (210) 598-6008

Other identifiers 2

IdentifierTypeStateIssuer
1552390-01MedicaidTX
8G9130OtherBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230930000039 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3375682818

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: dina.goytia-leos@614449995186180.direct.elationemr.com
  • Direct secure messaging: dina.goytia-leos@627363910582276.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1275503526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W SUNSET RD # 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092635",
            "telephone_number": "210-598-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W SUNSET RD # 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092635",
            "telephone_number": "210-598-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYTIA-LEOS",
        "first_name": "DINA",
        "middle_name": "X",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552390-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G9130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.