NPIMap

Individual provider Active NPI

David Enrique Vizurraga, M.D.

  • Orthopaedic Surgery Physician
  • Fort Sam Houston, TX
National Provider Identifier
1447419619
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
Q1326 Issued in TX
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234
Phone
(210) 916-4141
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 65913 GA
Orthopaedic Surgery Physician 207X00000X 36201 SC
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X Q1326 TX
Orthopaedic Surgery Physician 207X00000X Q1326 TX Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234

Mailing address

18626 Hardy Oak Blvd Ste 300
San Antonio, TX 78258-4228
Phone (210) 495-9047

Other practice location 1

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991
Phone (210) 804-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150430000802 TX Practitioner - Orthopedic Surgery 1759525629 Reassigns benefits to 3 organizations
I20201030001688 SD Practitioner - Orthopedic Surgery 1759525629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Emory University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The San Antonio Orthopaedic Group LLPGroup PAC ID 6800798794, 143 clinicians

Practice addresses (Care Compare)

400 Concord Plaza Dr
Suite 300
San Antonio, TX 78216-6991
Phone (210) 804-5400

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, San Antonio, TX, CCN 679074
  • Mi Familia Home Health Home health agency, Corpus Christi, TX, CCN 747628
  • Resolute Health Hospital Hospital, New Braunfels, TX, CCN 670098
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Memorial Hospital Hospital, Gonzales, TX, CCN 450235
  • Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • New Braunfels Regional Rehabilitation Hospital Inpatient rehabilitation facility, New Braunfels, TX, CCN 673049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement22
Knee replacement75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65913GAMDOrthopaedic Surgery Physician
36201SCMDOrthopaedic Surgery Physician
Q1326TXMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mother Frances Hospital Jacksonville Current Accepting new patients
The San Antonio Orthopaedic Group, LLP Orthopaedic Surgery CurrentSince Dec 1, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 20, 2015 Accepting new patients
Christus Trinity Clinic Texas Orthopaedic Surgery CurrentSince Jul 20, 2015 Accepting new patients
The San Antonio Orthopaedic Group, LLP Orthopaedic Surgery CurrentSince Dec 1, 2022 Accepting new patients
Acute Care Surgery of South Dakota PC Orthopaedic Surgery CurrentSince Sep 1, 2020 Accepting new patients
Acute Care Surgical Affiliates of Texas PA Orthopaedic Surgery CurrentSince Mar 1, 2020 Accepting new patients
Greater Austin Allergy, Asthma & Immunology PA Past Accepting new patients
Trinity Regional Medical Center Orthopaedic Surgery Past Accepting new patients
Mayo Clinic Health System in Waycross, Inc. Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

601 Creekside Xing
Ste 106
New Braunfels, TX 78130
Phone (210) 630-4637

19138 US Highway 281 N
San Antonio, TX 78258
Phone (210) 253-2660

19138 US Highway 281 N
Ste 100
San Antonio, TX 78258
Phone (210) 593-1435

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

2829 Babcock Rd
Ste 700
San Antonio, TX 78229
Phone (210) 396-5270

3327 Research Plz
Ste 215
San Antonio, TX 78235
Phone (210) 396-5285

11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

5000 Schertz Pkwy
Ste 600
Schertz, TX 78154
Phone (210) 804-5672

Interoperability endpoints

  • Direct secure messaging: david.vizurraga.1@94.direct.athenahealth.com
  • Direct secure messaging: david.vizurraga.1@3199.direct.athenahealth.com

Organizations & group practices 10

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 12

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1447419619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584228",
            "telephone_number": "210-495-9047",
            "fax_number": "210-293-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-916-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Concord Plaza Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782166991",
            "country_code": "US",
            "telephone_number": "210-804-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIZURRAGA",
        "first_name": "DAVID",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "65913",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "36201",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "Q1326",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "Q1326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.