Individual provider Active NPI

Joshua M. Novotny, NP

  • Geriatric Medicine (Internal Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1407552078
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
1111849 Issued in TX
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

Updated by the provider on May 14, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531000565 TX Practitioner - Nurse Practitioner 8224495650 Reassigns benefits to 3 organizations

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
Quality of Life Holistic Care LLCGroup PAC ID 4789021155, 3 clinicians
Rise Up Rehab, LLCGroup PAC ID 3274861497, 118 clinicians

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 Home health agency, San Antonio, TX, CCN 453194
  • Atlas Health, LLC Home health agency, San Antonio, TX, CCN 747814
  • Bexar Care Home Health Inc Home health agency, San Antonio, TX, CCN 679318
  • Divine Health Services LLC Home health agency, Zapata, TX, CCN 748125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
948740TXMDRegistered Nurse
1111849TXMDGeriatric Medicine (Internal Medicine) Physician
111849TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Qol Behavioral Health LLC CurrentSince May 1, 2025 Accepting new patients
Quality of Life Holistic Care LLC CurrentSince Mar 5, 2024 Accepting new patients
Mmcare - Hospice LLC PastSince Aug 13, 2023 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

  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.