Organization Active NPI

Pathology Associates of San Antonio, L.L.P.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Antonio, TX
National Provider Identifier
1407844848
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
PATHOLOGY ASSOCIATES OF SAN ANTONIO, L.L.P.
Practice address
9720 Datapoint Dr
San Antonio, TX 78229-2030
Phone
(210) 892-3700
Fax
(210) 614-4659
NPI assigned
Oct 10, 2005
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Mr. Scott Rupnow
Title
Ceo
Phone
(210) 892-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

9720 Datapoint Dr
San Antonio, TX 78229-2030

Mailing address

PO Box 2216
San Antonio, TX 78298-2216

Other practice location 1

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (210) 892-3700

Other practice location 2

9600 Datapoint Dr
San Antonio, TX 78229-2028
Phone (210) 892-3700

Other practice location 3

1020 S State Highway 16
Fredericksburg, TX 78624-4471
Phone (210) 892-3700

Other practice location 4

551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (210) 892-3700

Other identifiers 2

IdentifierTypeStateIssuer
D89COtherTXBLUE CROSS BLUE SHIELD
121743201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607000900 TX Part B Supplier - Clinic/Group Practice 0648252155 Receives reassigned benefits from 29 practitioners
Practice locations: San Antonio, TX; San Marcos, TX; New Braunfels, TX; Del Rio, TX; Laredo, TX; Kerrville, TX; Fredericksburg, TX; Eagle Pass, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2319885Pathology Associates of San Antonio9720 Datapoint Drive, San Antonio, TX 78229ComplianceDec 11, 2027

National Provider Directory

National Provider Directory

Locations

519 W Houston St
Fl 3
San Antonio, TX 78207
Phone (210) 225-3750

9600 Datapoint Dr
San Antonio, TX 78229
Phone (210) 892-3700

9720 Datapoint Dr
San Antonio, TX 78229
Phone (210) 892-3700

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1407844848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2216",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782982216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 DATAPOINT DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292030",
            "telephone_number": "210-892-3700",
            "fax_number": "210-614-4659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Union Ave",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781304194",
            "country_code": "US",
            "telephone_number": "210-892-3700",
            "fax_number": "210-614-4659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9600 Datapoint Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782292028",
            "country_code": "US",
            "telephone_number": "210-892-3700",
            "fax_number": "210-617-4692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 S State Highway 16",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "TX",
            "postal_code": "786244471",
            "country_code": "US",
            "telephone_number": "210-892-3700",
            "fax_number": "210-614-4659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Hill Country Dr",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "780286085",
            "country_code": "US",
            "telephone_number": "210-892-3700",
            "fax_number": "210-614-4659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHOLOGY ASSOCIATES OF SAN ANTONIO, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "RUPNOW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-892-3707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D89C",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121743201",
            "state": "TX"
        }
    ],
    "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 Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.