Individual provider Active NPI

Jeffery S Rosenbloom, MD

  • Otolaryngology Physician
  • San Antonio, TX
National Provider Identifier
1386652378
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
J4487 Issued in TX
Practice address
19026 Stone Oak Pkwy
#110
San Antonio, TX 75258
Phone
(210) 545-0404
Fax
(210) 614-1003
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X J4487 TX Primary

Addresses

Primary practice location

19026 Stone Oak Pkwy
#110
San Antonio, TX 75258

Mailing address

PO Box 2679
San Antonio, TX 78299
Phone (210) 616-0096

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
I20101021000325 TX Practitioner - Otolaryngology 9335171693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Southwestern Medical School at Dallas, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamo ENT AssociatesGroup PAC ID 1557345022, 4 clinicians

Practice addresses (Care Compare)

19026 Stone Oak Pkwy
San Antonio, TX 78258-3226
Phone (210) 545-0404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo ENT Associates Otolaryngology CurrentSince Jun 1, 2001 Accepting new patients

Locations

19026 Stone Oak Pkwy
Ste 110
San Antonio, TX 78258
Phone (210) 545-0404

19026 Stone Oak Pkwy
Ste 220
San Antonio, TX 78258

7940 Floyd Curl Dr
Ste 400
San Antonio, TX 78229
Phone (210) 616-0096

Organizations & group practices 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386652378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2679",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78299",
            "telephone_number": "210-616-0096",
            "fax_number": "210-614-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19026 STONE OAK PKWY",
            "address_2": "#110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "75258",
            "telephone_number": "210-545-0404",
            "fax_number": "210-614-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLOOM",
        "first_name": "JEFFERY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "J4487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.