NPIMap

Individual provider Active NPI

Randy L Panther, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1285694455
Registry record updated Dec 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M8899 Issued in TX
Practice address
21710 Eden Rose HL
San Antonio, TX 78256-1670
Phone
(800) 927-1381
Fax
(800) 927-1381
NPI assigned
Mar 23, 2006
Last updated
Dec 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2010

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 M8899 TX Primary

Addresses

Primary practice location

21710 Eden Rose HL
San Antonio, TX 78256-1670

Mailing address

21710 Eden Rose HL
San Antonio, TX 78256-1670
Phone (800) 927-1381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080623000229 TX Practitioner - Internal Medicine 3577463876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wake Forest University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panther Inpatient Care PLLCGroup PAC ID 6901080183, 14 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.31 of 100Reported as individual
Quality
79.43
Improvement activities
0
Cost
75.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8899TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Panther Inpatient Care PLLC Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Frio Hospital District Past Accepting new patients
United Physicians of San Antonio PA Internal Medicine Past Accepting new patients
Hospitalists of South Texas, PA Past Accepting new patients
Frio Hospital District PastSince Sep 2, 2025 Accepting new patients
KND Development 68, LLC Past Accepting new patients
TJS Management, LLC PastSince Jul 20, 2019 Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients
Frio Hospital District Past Accepting new patients
Coryell County Memorial Hospital Authority Past Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients

Locations

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

718 Lexington Ave
San Antonio, TX 78212
Phone (210) 251-2024

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Broadway Nursing & RehabilitationSan Antonio, TX, CCN 455467 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 2, 2025
Sep 2, 2025
Buena Vida Nursing & Rehab San AntonioSan Antonio, TX, CCN 455390 Skilled nursing facility Adp of the SNF Jan 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292112000000",
    "number": "1285694455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21710 EDEN ROSE HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561670",
            "telephone_number": "800-927-1381",
            "fax_number": "800-927-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21710 EDEN ROSE HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561670",
            "telephone_number": "800-927-1381",
            "fax_number": "800-927-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTHER",
        "first_name": "RANDY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M8899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.