Individual provider Active NPI

Jon Thomas Pelzl, M.D.

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1417007006
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
24524 Issued in OK
Practice address
8042 Wurzbach Rd Ste 310
San Antonio, TX 78229
Phone
(210) 614-5113
Fax
(210) 616-0024
NPI assigned
Jan 12, 2007
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 24524 OK Primary

Addresses

Primary practice location

8042 Wurzbach Rd Ste 310
San Antonio, TX 78229

Mailing address

8042 Wurzbach Rd Ste 310
San Antonio, TX 78229-3807
Phone (210) 614-5113

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180813002213 TX Practitioner - General Surgery 4688775166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Surgical AssociatesGroup PAC ID 1557396512, 9 clinicians

Practice addresses (Care Compare)

8122 Datapoint Dr
Suite 320
San Antonio, TX 78229-3264
Phone (210) 614-5113

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Surgical Associates CurrentSince Oct 1, 2018 Accepting new patients

Locations

8042 Wurzbach Rd
Ste 310
San Antonio, TX 78229
Phone (210) 614-5113

8122 Datapoint Dr
Ste 320
San Antonio, TX 78229
Phone (210) 614-5113

Organizations & group practices 1

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 3

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1417007006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8042 WURZBACH RD STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293807",
            "telephone_number": "210-614-5113",
            "fax_number": "210-616-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8042 WURZBACH RD STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-614-5113",
            "fax_number": "210-616-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZL",
        "first_name": "JON",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "24524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.