Active NPI
Joshua M. Novotny, NP
- Geriatric Medicine (Internal Medicine) Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 1111849
- Practice address
- 1209 S Saint Marys St Ste 231
San Antonio, TX 78210-1245 - Phone
- (210) 980-4767
- NPI assigned
- Feb 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 948740 | TX | |
| Home Health Registered Nurse | 163WH0200X | 111849 | TX | |
| Surgery Physician | 208600000X | 1111849 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 1111849 | TX | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 1111849 | TX | Primary |
Addresses
Primary practice location
1209 S Saint Marys St Ste 231
San Antonio, TX 78210-1245
Mailing address
105 Crimson Tree
Cibolo, TX 78108-4325
Phone (210) 980-4767
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Cibolo, TX 78108
Phone (210) 980-4767
105 Crimson Tree
Cibolo, TX 78108-4325
16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954
9000 Tesoro Dr
Suite 107
San Antonio, TX 78217-6132
Phone (210) 980-4767
Hospital & facility affiliations
- Prime Home Health, LLC
- Atlas Health, LLC
- Bexar Care Home Health Inc
- Divine Health Services LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 948740 | TX | MD | Registered Nurse |
| 1111849 | TX | MD | Geriatric Medicine (Internal Medicine) Physician |
| 111849 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Qol Behavioral Health LLC | Current | Accepting new patients | |
| Quality of Life Holistic Care LLC | Current | Accepting new patients | |
| Mmcare - Hospice LLC | Past | Accepting new patients |
Locations
9000 Tesoro Dr
San Antonio, TX 78217
9000 Tesoro Dr
Ste 107
San Antonio, TX 78217
Phone (210) 898-4532
1209 S Saint Marys St
Ste 231
San Antonio, TX 78210
Phone (210) 980-4767
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJAIDD/Endpoint/EJAIDD
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.
-
- Geriatric Medicine (Family Medicine) Physician
- San Antonio, TX
- NPI 1215794318
-
- Psychiatric/Mental Health Nurse Practitioner
- Cibolo, TX
- NPI 1104719772
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1174473680
-
- Rehabilitation Clinic/Center
- San Antonio, TX
- NPI 1962054858
-
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1295252062
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Antonio, TX
- NPI 1881379113
-
- Home Health Agency
- San Antonio, TX
- NPI 1750346342
-
- Home Health Agency
- Zapata, TX
- NPI 1255104485
-
- Home Health Agency
- San Antonio, TX
- NPI 1649813874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1407552078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CRIMSON TREE",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781084325",
"telephone_number": "210-980-4767",
"fax_number": "210-855-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 S SAINT MARYS ST STE 231",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782101245",
"telephone_number": "210-980-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOTNY",
"first_name": "JOSHUA",
"middle_name": "M.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-06",
"last_updated": "2025-05-14",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "948740",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "111849",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "1111849",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1111849",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "1111849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.