Individual provider Active NPI

Nilda A Guerra-Cavazos, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1356536031
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M7232 Issued in TX
Practice address
4243E Southcross Blvd 205
San Antonio, TX 78222-3750
Phone
(210) 304-3500
Fax
(210) 337-2909
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 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 M7232 TX Primary

Addresses

Primary practice location

4243E Southcross Blvd 205
San Antonio, TX 78222-3750

Mailing address

4243E Southcross Blvd 205
San Antonio, TX 78222-3750
Phone (210) 304-3500

Other identifiers 4

IdentifierTypeStateIssuer
94953OtherTXCARELINK
453971YLPSOtherTXWELLMED MEDICARE
1905226-02OtherTXWELLMED MEDICAID
8B5808OtherTXBCBS

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
I20071204000859 TX Practitioner - Family Practice 8325137904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

4243 E Southcross
Suite 205 Wellmed at Pecan Valley
San Antonio, TX 78222-3750
Phone (210) 304-3500

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

Hospital & facility affiliations

  • Anchorage Hospice, Inc. Hospice, San Antonio, TX, CCN 971545
  • Texas Heroes Hospice, Inc Hospice, San Antonio, TX, CCN A91627

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Aug 3, 2015 Accepting new patients
Wellmed Medical Group, PA Family Medicine Current Accepting new patients

Locations

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

4243 E Southcross Blvd
Ste 205
San Antonio, TX 78222
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: nilda.guerracavazos@wellmed.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Excellence Billing & ConsultingSan Antonio, TX, CCN 971545 Hospice Contracted Managing Employee Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 2

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": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1356536031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243E SOUTHCROSS BLVD 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223750",
            "telephone_number": "210-304-3500",
            "fax_number": "210-337-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243E SOUTHCROSS BLVD 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223750",
            "telephone_number": "210-304-3500",
            "fax_number": "210-337-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA-CAVAZOS",
        "first_name": "NILDA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "94953",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICARE",
            "identifier": "453971YLPS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAID",
            "identifier": "1905226-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B5808",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.