Individual provider Active NPI

John P. Clement IV, M.D., PH.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1376519223
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L1003 Issued in TX
Practice address
8401 Datapoint Dr
Suite 600
San Antonio, TX 78229-5900
Phone
(210) 616-7700
Fax
(210) 616-7709
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L1003 TX Primary

Addresses

Primary practice location

8401 Datapoint Dr
Suite 600
San Antonio, TX 78229-5900

Mailing address

8401 Datapoint Dr
Suite 600
San Antonio, TX 78229-5900
Phone (210) 616-7700

Other identifiers 4

IdentifierTypeStateIssuer
047456110MedicaidTX
047456111OtherTXCSHCN
L1003OtherTXTEXAS MEDICAL LICENSE
047456112OtherTXSTRIC MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050407000459 TX Practitioner - Diagnostic Radiology 5890775548 Reassigns benefits to 2 organizations
I20220912003770 MT Practitioner - Diagnostic Radiology 5890775548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Radiology Group PAGroup PAC ID 2567365083, 84 clinicians
South Texas Radiology Imaging CentersGroup PAC ID 0547153512, 75 clinicians

Practice addresses (Care Compare)

Bigfork, MT 59911
Phone (210) 616-7700

1020 S State Hwy 16
Frederickburg, TX 78624-4471
Phone (830) 997-1268

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2901

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 617-9750

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2284

155 E Sonterra Blvd
Suite 100
San Antonio, TX 78258-3988
Phone (210) 617-9500

18707 Hardy Oak Blvd
Suite 100
San Antonio, TX 78258-4794
Phone (210) 617-9550

1905 E State Hwy 97
Jourdanton, TX 78026-1504
Phone (830) 769-3515

3100 Ave E
Hondo, TX 78861-3534
Phone (830) 426-7745

4499 Medical Dr
Suite 171Aandb
San Antonio, TX 78229-3735
Phone (210) 617-9200

6402 Mallard MDW
San Antonio, TX 78244-4600
Phone (210) 757-8010

6700 W Ih
Suite 10
San Antonio, TX 78201-2009
Phone (210) 736-8400

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4343

801 N Bedell Ave
Del Rio, TX 78840-4112
Phone (830) 703-1745

8026 Floyd Curl Dr
San Antonio, TX 78229-3915
Phone (210) 575-8155

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604
  • Medina Regional Hospital Hospital, Hondo, TX, CCN 451330
  • Methodist Hospital Atascosa Hospital, Jourdanton, TX, CCN 450165

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
83.48
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.09 of 100Reported as group
Quality
91.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1003TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Radiology Imaging Centers Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
South Texas Radiology Group PA Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. PastSince Jul 1, 2022 Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations (25 of 37)

134 Menger Spgs
Ste 1110
Boerne, TX 78006
Phone (830) 816-9500

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

499 10th St
Floresville, TX 78114
Phone (830) 216-7096

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

3100 Avenue E
Hondo, TX 78861
Phone (830) 426-7700

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

12709 Toepperwein Rd
Ste 106
Live Oak, TX 78233
Phone (210) 617-9700

12602 Toepperwein Rd
Ste 101
Live Oak, TX 78233
Phone (201) 564-1560

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

7930 Floyd Curl Dr
Fl 2
San Antonio, TX 78229
Phone (210) 617-9850

5510 Presidio Pkwy
Ste 2201B
San Antonio, TX 78249

11923 Culebra Rd
Ste 201
San Antonio, TX 78253
Phone (210) 617-9660

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8401 Datapoint Dr
Ste 600
San Antonio, TX 78229
Phone (210) 616-7796

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7910 Barlite Blvd
San Antonio, TX 78224
Phone (210) 617-9940

7950 Floyd Curl Dr
Ste 200
San Antonio, TX 78229
Phone (210) 617-9800

9150 Huebner Rd
Ste 195
San Antonio, TX 78240
Phone (210) 617-9100

1200 Brooklyn Ave
Ste 100
San Antonio, TX 78212
Phone (210) 208-2500

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

155 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 617-9500

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

5715 Rogers Rd
Ste 101
San Antonio, TX 78251
Phone (210) 617-9650

Organizations & group practices 4

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 7

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1376519223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR",
            "address_2": "SUITE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295900",
            "telephone_number": "210-616-7700",
            "fax_number": "210-616-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR",
            "address_2": "SUITE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295900",
            "telephone_number": "210-616-7700",
            "fax_number": "210-616-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "JOHN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L1003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047456110",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "047456111",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "L1003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STRIC MEDICAID",
            "identifier": "047456112",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.