Individual provider Active NPI

Olga Joukovski, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1437256179
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3705 Issued in TX
Practice address
3303 Rogers Rd
Suite 120
San Antonio, TX 78251-3687
Phone
(210) 520-5040
Fax
(210) 520-5232
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3705 TX Primary

Addresses

Primary practice location

3303 Rogers Rd
Suite 120
San Antonio, TX 78251-3687

Mailing address

3303 Rogers Rd
Suite 120
San Antonio, TX 78251-3687
Phone (210) 520-5040

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
I20040816000558 TX Practitioner - Internal Medicine 7911970215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olga Joukovski MD, PAGroup PAC ID 3072773746, 3 clinicians

Practice addresses (Care Compare)

3303 Rogers Rd
Suite 120
San Antonio, TX 78251-3688
Phone (210) 520-5040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3705TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olga Joukovski MD, PA Internal Medicine CurrentSince Dec 30, 2011 Accepting new patients

Locations

3303 Rogers Rd
Ste 120
San Antonio, TX 78251
Phone (210) 520-5040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12706/brand/1/csg/1/fhir/r4
  • Direct secure messaging: olga.joukovski.1@12706.direct.athenahealth.com

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 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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1437256179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 ROGERS RD",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513687",
            "telephone_number": "210-520-5040",
            "fax_number": "210-520-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 ROGERS RD",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513687",
            "telephone_number": "210-520-5040",
            "fax_number": "210-520-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUKOVSKI",
        "first_name": "OLGA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.