Derek Morton Sr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

10615 Perrin Beitel Rd, BLDG 4
Suite 410
San Antonio, TX 78217-7821

Phone

(214) 454-3602

NPI assigned

Aug 24, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Medi-Ryde, LLC Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Medi-Ryde, LLC

  • Non-emergency Medical Transport (VAN)
  • San Antonio, TX
  • NPI 1548938616
  NPD Authorized official

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1285301762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 CHAMPIONS RDG",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706200",
            "telephone_number": "214-454-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL RD, BLDG 4",
            "address_2": "SUITE 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782177821",
            "telephone_number": "214-454-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "DEREK",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mediryde.com",
            "affiliation": "N",
            "endpointDescription": "Non-Emergency Medical Transport",
            "address_1": "10615 Perrin Beitel Rd, Bldg 4",
            "address_2": "Suite 410",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782177821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEDI-RYDE,",
            "last_name": "LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hadier Shaban Morsy
• Ann Mortensen
• Nadia Mortezagholi, DO
• Glenda Sharlene Mortimer, NP-C
• Nicolas Alexander Morton-Gonzaba, MD
• Gregory Burke Morton, PA-C
• Hallie Anne Morton, MD
• Jennifer Word Morton, LCSW, AASW
• Kristen L. Morton, P.A.
• Melissa Morton, PTA

• Non-emergency Medical Transport (VAN) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.