Individual provider Active NPI

Abhishek Roka, M.D.

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1316395403
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S1905 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229
Phone
(210) 358-4000
NPI assigned
May 30, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X ME151769 FL
Emergency Medicine Physician 207P00000X S1905 TX Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229

Mailing address

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Other practice location 1

6850 Lake Nona Blvd
Orlando, FL 32827-7408
Phone (407) 266-1106

Other identifiers 1

IdentifierTypeStateIssuer
398524401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190606001322 TX Practitioner - Emergency Medicine 4789917790 Reassigns benefits to 3 organizations
I20210922002492 FL Practitioner - Emergency Medicine 4789917790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Univ of Central Florida, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

1700 S 23Rd St
Lawnwood Regional Medical Center
Fort Pierce, FL 34950-4803
Phone (772) 461-4000

Hospital & facility affiliations

  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME151769FLMDEmergency Medicine Physician
S1905TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio Multi-Specialty Current Accepting new patients
Concord Medical Group PLLC Multi-Specialty CurrentSince Jun 23, 2021 Accepting new patients
The University of Texas Health Science Center at San Antonio Multi-Specialty CurrentSince Jul 1, 2019 Accepting new patients
Emergency Medicine Services of TX, PLLC Multi-Specialty CurrentSince Apr 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC Multi-Specialty CurrentSince Jun 23, 2021 Accepting new patients
University of Texas Health Science Center at San Antonio Multi-Specialty CurrentSince Jul 1, 2019 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

9711 N Sam Houston Pkwy E
Humble, TX 77396
Phone (281) 441-6520

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1316395403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-358-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6850 Lake Nona Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277408",
            "country_code": "US",
            "telephone_number": "407-266-1106",
            "fax_number": "407-266-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROKA",
        "first_name": "ABHISHEK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-30",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME151769",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S1905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398524401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.