Organization Active NPI

Salvatore a Barbaro III MD PA

  • Specialist
  • San Antonio, TX
National Provider Identifier
1366687253
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J7900 Issued in TX
Legal business name
SALVATORE A BARBARO III MD PA
Practice address
19016 Stone Oak Pkwy
Ste 190
San Antonio, TX 78258-3280
Phone
(210) 490-4600
Fax
(210) 490-4651
NPI assigned
Dec 8, 2008
Last updated
Mar 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Dr. Salvatore A Barbaro III, MDNPI 1760486757
Title
Owner
Phone
(210) 490-4600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J7900 TX Primary

Addresses

Primary practice location

19016 Stone Oak Pkwy
Ste 190
San Antonio, TX 78258-3280

Mailing address

PO Box 1196
San Antonio, TX 78294-1196
Phone (210) 490-4600

Other identifiers 1

IdentifierTypeStateIssuer
122121006MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090209000333 TX Part B Supplier - Clinic/Group Practice 7012084767 Receives reassigned benefits from 1 practitioner
Practice locations: Del Rio, TX; Eagle Pass, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Locations

612 N Bedell Ave
Del Rio, TX 78840
Phone (830) 775-3597

2174 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-3353

3327 Research Plz
Ste 302
San Antonio, TX 78235
Phone (210) 490-4600

Practitioners & affiliated clinicians

Practitioners 1

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": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1366687253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1196",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782941196",
            "telephone_number": "210-490-4600",
            "fax_number": "210-490-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19016 STONE OAK PKWY",
            "address_2": "STE 190",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583280",
            "telephone_number": "210-490-4600",
            "fax_number": "210-490-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATORE A BARBARO III MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "BARBARO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-490-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J7900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122121006",
            "state": "TX"
        }
    ],
    "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 Mar 10, 2020; 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.