Westover Hills Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WESTOVER HILLS PRIMARY CARE

Practice address

9022 Culebra Rd
Ste 112
San Antonio, TX 78251

Phone

(210) 802-3777

NPI assigned

Sep 24, 2018

Last updated

Dec 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stella Koretsky, MDNPI 1487841342

Title

Medical Director

Phone

(210) 802-3777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stella Koretsky, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1487841342
  Medicare reassignment NPD Authorized official
• Jameve Caballero, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1780226654
  Medicare reassignment NPD
• Xelena Caldwell

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1861985822
  Medicare reassignment NPD

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1316421506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 WHITNEY CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9022 CULEBRA RD",
            "address_2": "STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-802-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTOVER HILLS PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "KORETSKY",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-802-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westover Hills Hospice LLC
• Westover Hills Lung Center
• Westover Hills Orthopaedic PLLC
• Westover Hills Pediatric Dentistry
• Westover Hills Pharmacy Inc (Westover Hills Pharmacy)
• Westover Hills SCC LLC (SCC at Westover Hills Rehabilitation and Healthcare Center)
• Westover Hills Surgical Associates
• Westover Hills Women's Health PA
• Westover Primary Care
• Westover Primary Care Clinic PLLC

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.

Verify at the official NPI Registry.