Individual provider Active NPI

Bundhit Tantiwongkosi, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1346455672
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A103495 Issued in CA
Practice address
7400 Merton Minter St
San Antonio, TX 78229-4404
Phone
(210) 617-5300
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57-009559 OH
Diagnostic Radiology Physician 2085R0202X A103495 CA Primary

Addresses

Primary practice location

7400 Merton Minter St
San Antonio, TX 78229-4404

Mailing address

7400 Merton Minter St
San Antonio, TX 78229-4404
Phone (210) 617-5300

Other identifiers 1

IdentifierTypeStateIssuer
0A1034950MedicaidCA

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
I20091005000207 TX Practitioner - Diagnostic Radiology 6608947932 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS San Antonio Imaging Partners LPGroup PAC ID 5395723787, 69 clinicians
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

215 E Quincy St
Suite 100
San Antonio, TX 78215-2032
Phone (210) 351-0784

3011 W Loop 1604
San Antionio, TX 78251-3901

4103 N Loop 1604 W
107 The Orthopedic and Neurologic Imaging
San Antonio, TX 78249-1380
Phone (210) 785-2519

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 450-9000

Hospital & facility affiliations

  • University Health System Hospital, San Antonio, TX, CCN 450213
  • Ut Health San Antonio Multispecialty & Research Ho Hospital, San Antonio, TX, CCN 670335
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

Merit-based Incentive Payment System (MIPS)

Final score
85.83 of 100Reported as group
Quality
83.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103495CAMDDiagnostic Radiology Physician
57-009559OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
VHS San Antonio Imaging Partners, LP Diagnostic Radiology CurrentSince Jul 19, 2021 Accepting new patients
University of Texas Health Science Center at San Antonio Family Medicine CurrentSince Sep 21, 2009 Accepting new patients
M&S Radiology Associates, PA CurrentSince Jul 1, 2021 Accepting new patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Sep 21, 2009 Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients
VHS San Antonio Partners, LLC Past Accepting new patients

Locations

11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400

1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

7400 Merton Minter St
San Antonio, TX 78229
Phone (210) 616-8385

215 E Quincy St
Ste 100
San Antonio, TX 78215
Phone (210) 351-0784

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

16088 San Pedro Ave
San Antonio, TX 78232
Phone (210) 402-4092

6491 Woodlake Pkwy
San Antonio, TX 78244
Phone (210) 622-8220

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

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

2111 SE Loop 410
San Antonio, TX 78220
Phone (210) 390-8240

10811 Town Center Dr
San Antonio, TX 78251
Phone (210) 572-0911

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

25615 US Highway 281 N
San Antonio, TX 78258
Phone (210) 292-0168

9522 Huebner Rd
San Antonio, TX 78240
Phone (210) 478-5390

Organizations & group practices 6

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1346455672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "210-617-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "210-617-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTIWONGKOSI",
        "first_name": "BUNDHIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57-009559",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A103495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1034950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.