Individual provider Active NPI

Matthew E. Schaefer, D.O.

  • Nephrology Physician
  • San Antonio, TX
National Provider Identifier
1346205648
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M5487 Issued in TX
Practice address
18707 Hardy Oak Blvd Ste 530
San Antonio, TX 78258-4791
Phone
(210) 495-8280
Fax
(210) 481-3116
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2003022259 MO
Nephrology Physician 207RN0300X M5487 TX Primary

Addresses

Primary practice location

18707 Hardy Oak Blvd Ste 530
San Antonio, TX 78258-4791

Mailing address

7142 San Pedro Ave
Suite 120
San Antonio, TX 78216-6254
Phone (210) 661-5622

Other identifiers 2

IdentifierTypeStateIssuer
190568901MedicaidTX
P00457063OtherTXMEDICARE 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
I20070730000137 TX Practitioner - NephrologyPractitioner - Internal Medicine 6507967957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Antonio Kidney Disease Center Physicians Group, P.L.L.C.Group PAC ID 2668384744, 35 clinicians

Practice addresses (Care Compare)

222 Sidney Baker St S
Suite 208
Kerrville, TX 78028-5983
Phone (830) 896-7607

Hospital & facility affiliations

  • DaVita Kerrville Dialysis Dialysis facility, Kerrville, TX, CCN 452546
  • DaVita Boerne Dialysis Center Dialysis facility, Boerne, TX, CCN 672578
  • Carmen Bulverde Dialysis facility, Spring Branch, TX, CCN 742712
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604
  • Kimble Hospital Hospital, Junction, TX, CCN 451306

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
67.88
Promoting interoperability
87
Improvement activities
40
Cost
78.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003022259MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Nephrology CurrentSince Jul 1, 2007 Accepting new patients
Sakdc Surgical Center PLLC CurrentSince Oct 9, 2023 Accepting new patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Nephrology PastSince Jul 1, 2007 Accepting new patients

Locations

134 Menger Spgs
Ste 1210
Boerne, TX 78006
Phone (210) 495-8280

222 Sidney Baker St S
Ste 208
Kerrville, TX 78028
Phone (830) 896-7607

7114 San Pedro Ave
San Antonio, TX 78216
Phone (210) 342-2233

731 Carnoustie Dr
Ste 102
San Antonio, TX 78258
Phone (210) 495-8280

7142 San Pedro Ave
Ste 120
San Antonio, TX 78216
Phone (210) 481-7453

18707 Hardy Oak Blvd
Ste 530
San Antonio, TX 78258
Phone (210) 495-8280

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: matthew.schaefer.p56@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: matthewschaefer@sakdc.allscriptsdirect.net

Organizations & group practices 3

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 8

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1346205648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7142 SAN PEDRO AVE",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166254",
            "telephone_number": "210-661-5622",
            "fax_number": "210-395-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD STE 530",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584791",
            "telephone_number": "210-495-8280",
            "fax_number": "210-481-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "MATTHEW",
        "middle_name": "E.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2003022259",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M5487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190568901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00457063",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.