Individual provider Active NPI

Priyadarshini Loganathan, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1275989303
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S9342 Issued in TX
Practice address
302 W Rector St
San Antonio, TX 78216-5718
Phone
(210) 358-0800
Fax
(210) 358-0850
NPI assigned
May 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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 S9342 TX Primary

Addresses

Primary practice location

302 W Rector St
San Antonio, TX 78216-5718

Mailing address

903 W Martin St # Ms 52-2
San Antonio, TX 78207-0903
Phone (210) 358-5909

Other practice location 1

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5200

Other practice location 2

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 215-8000

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
I20210202002933 TX Practitioner - Internal MedicinePractitioner - Hospitalist 3476967431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
83.62
Promoting interoperability
100
Improvement activities
40
Cost
78.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Specialists CurrentSince Jun 27, 2021 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jan 30, 2021 Accepting new patients
Texas Tech University Health Sciences Center El Paso Internal Medicine Current Accepting new patients
Community Medicine Associates Internal Medicine CurrentSince Mar 19, 2021 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jan 30, 2021 Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

903 W Martin St
#522
San Antonio, TX 78207

302 W Rector St
San Antonio, TX 78216
Phone (210) 358-0800

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: ploganathan50669@direct.utmsa.com

Organizations & group practices 5

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": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1275989303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W MARTIN ST # MS 52-2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782070903",
            "telephone_number": "210-358-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W RECTOR ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165718",
            "telephone_number": "210-358-0800",
            "fax_number": "210-358-0850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-5200",
            "fax_number": "915-215-8640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052709",
            "country_code": "US",
            "telephone_number": "915-215-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGANATHAN",
        "first_name": "PRIYADARSHINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-07",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S9342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.