NPIMap

Individual provider Active NPI

Esteban Alfredo Cedillo-Couvert, MD

  • Nephrology Physician
  • San Antonio, TX
National Provider Identifier
1407023476
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N3544 Issued in TX
Practice address
137 Palo Alto Rd
San Antonio, TX 78211-3736
Phone
(210) 265-8155
Fax
(210) 368-2816
NPI assigned
May 9, 2008
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N3544 TX
Nephrology Physician 207RN0300X N3544 TX Primary

Addresses

Primary practice location

137 Palo Alto Rd
San Antonio, TX 78211-3736

Mailing address

PO Box 504152
Saint Louis, MO 63150-4152
Phone (210) 212-8622

Other practice location 1

215 N San Saba Ste 301
San Antonio, TX 78207-8101
Phone (210) 212-8622

Other practice location 2

8235 S New Braunfels Ste 110
San Antonio, TX 78235-4439
Phone (210) 572-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000458 TX Practitioner - Nephrology 4688711690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Reza Mizani MD PAGroup PAC ID 5294709689, 28 clinicians

Practice addresses (Care Compare)

215 N San Saba
Suite 301
San Antonio, TX 78207-3164
Phone (210) 212-8622

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M. Reza Mizani, M.D., P.a. Nephrology CurrentSince Jul 1, 2017 Accepting new patients
M. Reza Mizani, M.D., P.a. CurrentSince Jul 1, 2017 Accepting new patients
Transtreme, LLC Past Accepting new patients
M. Reza Mizani, M.D., P.a. Nephrology Past Accepting new patients

Locations

205 22nd St
Hondo, TX 78861
Phone (830) 426-2753

137 Palo Alto Rd
San Antonio, TX 78211
Phone (210) 572-5330

215 N San Saba
Ste 301
San Antonio, TX 78207
Phone (210) 212-8984

343 W Houston St
Ste 609
San Antonio, TX 78205
Phone (210) 212-4595

8235 S New Braunfels
Ste 110
San Antonio, TX 78235
Phone (210) 572-5330

Interoperability endpoints

  • Direct secure messaging: esteban.cedillo@strcg.eclinicaldirectplus.com

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

Hospital & facility affiliations 10

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1407023476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504152",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504152",
            "telephone_number": "210-212-8622",
            "fax_number": "210-212-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PALO ALTO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113736",
            "telephone_number": "210-265-8155",
            "fax_number": "210-368-2816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 N San Saba Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782078101",
            "country_code": "US",
            "telephone_number": "210-212-8622",
            "fax_number": "210-212-9197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8235 S New Braunfels Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782354439",
            "country_code": "US",
            "telephone_number": "210-572-5330",
            "fax_number": "210-368-2816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEDILLO-COUVERT",
        "first_name": "ESTEBAN",
        "middle_name": "ALFREDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N3544",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N3544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.