Organization Active NPI

Advanced Internal Medicine Practice PLLC

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1295299808
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADVANCED INTERNAL MEDICINE PRACTICE PLLC
Practice address
1418 Walkers Way Ste 101
San Antonio, TX 78216-7752
Phone
(210) 245-7933
Fax
(210) 761-3824
NPI assigned
Jan 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Dr. Sujatha Gerineni, MDNPI 1396973640
Title
Managing Member
Phone
(248) 766-4888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1418 Walkers Way Ste 101
San Antonio, TX 78216-7752

Mailing address

2313 Lockhill Selma Rd Ste 102
San Antonio, TX 78230-3007
Phone (210) 245-7933

Other practice location 1

7003 S New Braunfels Ave Ste 101
San Antonio, TX 78223-4589
Phone (210) 245-7933

Other identifiers 2

IdentifierTypeStateIssuer
1295299808OtherTXGROUP NPI
1396973640OtherTXNPI

Other names 1

  • AIM Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190410000558 TX Part B Supplier - Clinic/Group Practice 6305187865 Receives reassigned benefits from 5 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

1418 Walkers Way
Ste 101
San Antonio, TX 78216
Phone (210) 245-7933

502 Madison Oak Dr
Ste 420
San Antonio, TX 78258
Phone (210) 490-6043

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1295299808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 LOCKHILL SELMA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303007",
            "telephone_number": "210-245-7933",
            "fax_number": "210-855-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 WALKERS WAY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167752",
            "telephone_number": "210-245-7933",
            "fax_number": "210-761-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7003 S New Braunfels Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782234589",
            "country_code": "US",
            "telephone_number": "210-245-7933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED INTERNAL MEDICINE PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "GERINENI",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "248-766-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1295299808",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396973640",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIM",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AIM",
            "code": "5",
            "type": "Other 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 Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.