Individual provider Active NPI

Thimios D. Partalas, DC, DACNB, RN,FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1396859211
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
777944 Issued in TX
Practice address
303 E Quincy St
Suite 102
San Antonio, TX 78215-1918
Phone
(210) 229-7242
Fax
(210) 227-5092
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC7412 TX
Neurology Chiropractor 111NN0400X DC7412 TX
Family Nurse Practitioner 363LF0000X 777944 TX Primary

Addresses

Primary practice location

303 E Quincy St
Suite 102
San Antonio, TX 78215-1918

Mailing address

303 E Quincy St
Suite 102
San Antonio, TX 78215-1918
Phone (210) 229-7242

Other identifiers 1

IdentifierTypeStateIssuer
8B0156OtherTXBLUE CROSS BLUE SHIELD TX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140620001335 TX Practitioner - Nurse Practitioner 7315098886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
DC7412TXMDNeurology Chiropractor
777944TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Sep 21, 2021 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Sep 21, 2021 Accepting new patients

Locations

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

14625 Huebner Rd
San Antonio, TX 78230

303 E Quincy St
Ste 102
San Antonio, TX 78215
Phone (210) 229-7242

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

Interoperability endpoints

  • Direct secure messaging: eythimios.partalas@commsa.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1396859211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E QUINCY ST",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151918",
            "telephone_number": "210-229-7242",
            "fax_number": "210-227-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E QUINCY ST",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151918",
            "telephone_number": "210-229-7242",
            "fax_number": "210-227-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTALAS",
        "first_name": "THIMIOS",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DC, DACNB, RN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC7412",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "DC7412",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "777944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "8B0156",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.