Babcock Medical Associates, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BABCOCK MEDICAL ASSOCIATES, P.A.

Practice address

5282 Medical Dr
Suite 312
San Antonio, TX 78229-6022

Phone

(210) 699-3815

Fax

(210) 699-1896

NPI assigned

Nov 14, 2005

Organization subpart

No

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

Authorized official

Name

Irene Ruiz

Title

Office Manager

Phone

(210) 410-2042

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marvin R Moszkowicz, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1184612020
  Medicare reassignment NPD
• Tessy Kadavil, NP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1992865505
  NPD
• Dianne M Rudolph, NP

  • Gerontology Nurse Practitioner
  • Boerne, TX
  • NPI 1427095777
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1366423683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 TUSCANY WAY",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782492061",
            "telephone_number": "210-558-6288",
            "fax_number": "210-558-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR",
            "address_2": "SUITE 312",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296022",
            "telephone_number": "210-699-3815",
            "fax_number": "210-699-1896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4085 De Zavala Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shavano Park",
            "state": "TX",
            "postal_code": "782492084",
            "country_code": "US",
            "telephone_number": "210-558-6288",
            "fax_number": "210-558-6289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Tuscany Way",
            "address_purpose": "LOCATION",
            "city": "Shavano Park",
            "state": "TX",
            "postal_code": "782492061",
            "country_code": "US",
            "telephone_number": "210-558-6288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BABCOCK MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-410-2042"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094995002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halla M Baassiri
• Viktor Babak, SLP-ASSISTANT
• Ebenezer O Babalola, M.D.
• Babcock Dental Partners, PLLC
• Babcock Health & Wellness Clinic
• Babcock Modern Dentistry, PC
• Babcock Pharmacy LLC
• Babcock Precision Smile PLLC
• Babcock Surgical Center, LLC
• Babcock Wellness & Rejuvenation PLLC

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.