Individual provider Active NPI

Jerry Alan Beyer, M.D.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1386618197
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
K5455 Issued in TX
Practice address
16607 Blanco Rd
Suite 303
San Antonio, TX 78232-1913
Phone
(210) 485-1850
Fax
(210) 493-9500
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X K5455 TX Primary

Addresses

Primary practice location

16607 Blanco Rd
Suite 303
San Antonio, TX 78232-1913

Mailing address

PO Box 2408
San Antonio, TX 78298-2408
Phone (210) 485-1850

Other identifiers 2

IdentifierTypeStateIssuer
116644904MedicaidTX
8W650OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070221000568 TX Practitioner - Anesthesiology 3971605957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Minnesota Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Anesthesia Partners PLLCGroup PAC ID 4880072636, 58 clinicians

Practice addresses (Care Compare)

423 Treeline Park
Suite 202
San Antonio, TX 78209-2078
Phone (910) 949-6000

5330 N Loop 1604
Legent Orthopedic and Spine
San Antonio, TX 78249-4383
Phone (210) 877-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5455TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 1, 2017 Accepting new patients
Champion Anesthesia Consultants, PLLC Anesthesiology CurrentSince Oct 22, 2020 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince May 1, 2017 Accepting new patients
Lone Star Anesthesia Partners PLLC Anesthesiology CurrentSince Jun 25, 2022 Accepting new patients
Plaza Anesthesia Consultants, PLLC Anesthesiology Past Accepting new patients

Locations

11970 N Central Expy
Ste 610
Dallas, TX 75243
Phone (469) 232-9393

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

4242 Medical Dr
Ste 1260
San Antonio, TX 78229
Phone (210) 477-9551

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

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

4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

Organizations & group practices 5

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 1

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1386618197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2408",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782982408",
            "telephone_number": "210-485-1850",
            "fax_number": "210-493-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD",
            "address_2": "SUITE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321913",
            "telephone_number": "210-485-1850",
            "fax_number": "210-493-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYER",
        "first_name": "JERRY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K5455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116644904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8W650",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.