Organization Active NPI

Genesiscare Landmark Texas Cancer Care PA

  • Radiation Oncology Physician
  • Live Oak, TX
National Provider Identifier
1376154534
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
GENESISCARE LANDMARK TEXAS CANCER CARE PA
Practice address
12705 Toepperwein Rd
Live Oak, TX 78233-3257
Phone
(210) 816-4770
Fax
(210) 981-3051
NPI assigned
Aug 12, 2020
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Hejal C Patel, MDNPI 1174746168
Title
Managing Partner
Phone
(334) 797-0829

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
Radiation Oncology Physician 2085R0001X Primary

Addresses

Primary practice location

12705 Toepperwein Rd
Live Oak, TX 78233-3257

Mailing address

PO Box 936823
Atlanta, GA 31193-3213
Phone (210) 981-3051

Other practice location 1

8019 S New Braunfels Ste 101
San Antonio, TX 78235-1069
Phone (210) 981-3051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210324001477 TX Part B Supplier - Clinic/Group Practice 9335554062 Receives reassigned benefits from 2 practitioners
Practice locations: Live Oak, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1376154534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936823",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311933213",
            "telephone_number": "210-981-3051",
            "fax_number": "210-981-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12705 TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333257",
            "telephone_number": "210-816-4770",
            "fax_number": "210-981-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8019 S New Braunfels Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782351069",
            "country_code": "US",
            "telephone_number": "210-981-3051",
            "fax_number": "210-981-3052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESISCARE LANDMARK TEXAS CANCER CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEJAL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "334-797-0829",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.