Active NPI
Sonterra Procedure Center, LLC
- Ambulatory Surgical Clinic/Center
- San Antonio, TX
National Provider Identifier
1306199757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SONTERRA PROCEDURE CENTER, LLC
- Practice address
- 225 E Sonterra Blvd
Suite 101
San Antonio, TX 78258-3992 - Phone
- (210) 614-0959
- Fax
- (210) 614-7522
- NPI assigned
- Oct 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James L. Humphreys, M.D.
- Title
- Member
- Phone
- (210) 614-0959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
225 E Sonterra Blvd
Suite 101
San Antonio, TX 78258-3992
Mailing address
7418 John Smith
Suite 218
San Antonio, TX 78229-6020
Phone (210) 614-0959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130304000449 | TX | Part B Supplier - Ambulatory Surgical Center | 9234384967 | Practice locations: San Antonio, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Sonterra Procedure Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2048663 | Sonterra Procedure Center | Certificate of waiver | Oct 21, 2026 |
National Provider Directory
National Provider DirectoryLocations
12315 Judson Rd
Ste 114
Live Oak, TX 78233
Phone (210) 646-0890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Colon & Rectal Surgery Physician
- Corpus Christi, TX
- NPI 1467486563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649203200000",
"number": "1306199757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7418 JOHN SMITH",
"address_2": "SUITE 218",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296020",
"telephone_number": "210-614-0959",
"fax_number": "210-614-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E SONTERRA BLVD",
"address_2": "SUITE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583992",
"telephone_number": "210-614-0959",
"fax_number": "210-614-7522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONTERRA PROCEDURE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-23",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A",
"authorized_official_last_name": "HUMPHREYS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "210-614-0959",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.