Individual provider Active NPI

Raul Santoscoy, D.O

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1336114396
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L4109 Issued in TX
Practice address
7431 NW Loop 410
Ste 109
San Antonio, TX 78245-3596
Phone
(210) 477-7190
Fax
(210) 477-7195
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L4109 TX Primary

Addresses

Primary practice location

7431 NW Loop 410
Ste 109
San Antonio, TX 78245-3596

Mailing address

2961 Mossrock
San Antonio, TX 78230-5119
Phone (210) 731-4800

Other identifiers 2

IdentifierTypeStateIssuer
154253201MedicaidTX
P00218734OtherTXMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100116000377 TX Practitioner - Family Practice 3375685118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Primecare, IncGroup PAC ID 8628073236, 70 clinicians

Practice addresses (Care Compare)

7431 NW Loop 410
109 Healthtexas Medical Group Ingram
San Antonio, TX 78245-3597
Phone (210) 477-7190

Hospital & facility affiliations

  • Christus Vna Homecare San Antonio Home health agency, San Antonio, TX, CCN 457777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4109TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Primecare, Inc Family Medicine CurrentSince Mar 30, 2015 Accepting new patients

Locations

2961 Mossrock
San Antonio, TX 78230
Phone (210) 731-4800

7431 NW Loop 410
Ste 109
San Antonio, TX 78245
Phone (210) 477-7190

2911 S New Braunfels Ave
San Antonio, TX 78210
Phone (210) 377-1133

911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402

Interoperability endpoints

  • Direct secure messaging: raul.santoscoy@htmg.eclinicaldirectplus.com

Organizations & group practices 1

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 1

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1336114396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 MOSSROCK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305119",
            "telephone_number": "210-731-4800",
            "fax_number": "210-731-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 NW LOOP 410",
            "address_2": "STE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453596",
            "telephone_number": "210-477-7190",
            "fax_number": "210-477-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOSCOY",
        "first_name": "RAUL",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154253201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00218734",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.