NPIMap

Individual provider Active NPI

James L Humphreys, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Antonio, TX
National Provider Identifier
1346210523
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
R..95453 Issued in TX
Practice address
3300 Nacogdoches Rd
Suite 110
San Antonio, TX 78217-3373
Phone
(210) 646-0890
Fax
(210) 646-7764
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X R..95453 TX Primary

Addresses

Primary practice location

3300 Nacogdoches Rd
Suite 110
San Antonio, TX 78217-3373

Mailing address

7418 John Smith
Suite 218
San Antonio, TX 78229-6020
Phone (210) 614-0959

Other identifiers 2

IdentifierTypeStateIssuer
P00902942OtherTXMEDICARE R/R
047506303MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091102000249 TX Practitioner - Pathology 0749327278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Texas Tech University Health Science Center School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 757-8591

3300 Nacogdoches Rd
Suite 110
San Antonio, TX 78217-3368
Phone (210) 614-0959

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as group
Quality
69.99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R..95453TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Oaks Pathology Services, P. a. CurrentSince Feb 1, 2011 Accepting new patients
Village Oaks Pathology Services, P.a. Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2011 Accepting new patients

Locations

1 Saint Marks Pl
La Grange, TX 78945
Phone (979) 242-2102

12315 Judson Rd
Ste 114
Live Oak, TX 78233
Phone (210) 646-0890

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

7418 John Smith Dr
Ste 218
San Antonio, TX 78229
Phone (210) 614-0950

3300 Nacogdoches Rd
Ste 110
San Antonio, TX 78217
Phone (210) 646-0890

1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254

Organizations & group practices 2

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 7

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1346210523",
    "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": "3300 NACOGDOCHES RD",
            "address_2": "SUITE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173373",
            "telephone_number": "210-646-0890",
            "fax_number": "210-646-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "R..95453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE R/R",
            "identifier": "P00902942",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047506303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.