Organization Active NPI

Central Texas Diabetes & Wellness Institute

  • Endocrinology, Diabetes & Metabolism Physician
  • San Antonio, TX
National Provider Identifier
1356951735
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
CENTRAL TEXAS DIABETES & WELLNESS INSTITUTE
Practice address
5441 Babcock Rd Ste 203
San Antonio, TX 78240-3993
Phone
(210) 701-8890
Fax
(210) 783-8840
NPI assigned
Jul 31, 2020
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Jarra Green-Calderon, MDNPI 1659516615
Title
Owner
Phone
(832) 560-0254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

5441 Babcock Rd Ste 203
San Antonio, TX 78240-3993

Mailing address

8428 Bandera Rd Ste 2
San Antonio, TX 78250-2514

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2179865Central Texas Diabetes & Wellness Institute PLLC5441 Babcock Rd Ste 203, San Antonio, TX 78240Certificate of waiverMar 2, 2028

National Provider Directory

National Provider Directory

Locations

5441 Babcock Rd
Ste 203
San Antonio, TX 78240
Phone (210) 701-8890

8428 Bandera Rd
Ste 2
San Antonio, TX 78250
Phone (210) 521-6886

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21114/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1356951735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 BANDERA RD STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 BABCOCK RD STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403993",
            "telephone_number": "210-701-8890",
            "fax_number": "210-783-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS DIABETES & WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "GREEN-CALDERON",
        "authorized_official_first_name": "JARRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-560-0254",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.