Organization Active NPI

Texas Cardiac and Vascular Specialists PA

  • Vascular Surgery Physician
  • San Antonio, TX
National Provider Identifier
1447953351
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
TEXAS CARDIAC AND VASCULAR SPECIALISTS PA
Practice address
718 Lexington Avenue
Suite 102
San Antonio, TX 78212-4768
Phone
(210) 420-8671
Fax
(210) 899-1958
NPI assigned
Mar 22, 2023
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Leah HaynesNPI 1124664685
Title
Credentialing Manager
Phone
(726) 208-3118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

718 Lexington Avenue
Suite 102
San Antonio, TX 78212-4768

Mailing address

718 Lexington Ave Ste 102
San Antonio, TX 78212-4790
Phone (210) 420-8671

Other practice location 1

718 Lexington Ave Ste 101
San Antonio, TX 78212-4790
Phone (210) 420-8671

Other identifiers 3

IdentifierTypeStateIssuer
472017901MedicaidTX
472013801MedicaidTX
459752801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230505000701 TX Part B Supplier - Clinic/Group Practice 8022473586 Receives reassigned benefits from 8 practitioners
Practice locations: Victoria, TX; Uvalde, TX; San Antonio, TX; Jourdanton, TX; Del Rio, TX; Floresville, 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
45D2292834Texas Cardiac and Vascular Specialists PA718 Lexington Avenue, Suite 102, San Antonio, TX 78212AccreditationMay 19, 2027

National Provider Directory

National Provider Directory

Locations

3327 Research Plz
Ste 407
San Antonio, TX 78235
Phone (210) 297-3520

610 N Main Ave
Fl 2
San Antonio, TX 78205
Phone (210) 614-7467

718 Lexington Ave
Ste 102
San Antonio, TX 78212
Phone (210) 420-8641

1038 Garner Field Rd
#B
Uvalde, TX 78801
Phone (210) 614-0402

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAFCDD

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1447953351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 LEXINGTON AVE STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124790",
            "telephone_number": "210-420-8671",
            "fax_number": "210-899-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 LEXINGTON AVENUE",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124768",
            "telephone_number": "210-420-8671",
            "fax_number": "210-899-1958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Lexington Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782124790",
            "country_code": "US",
            "telephone_number": "210-420-8671",
            "fax_number": "210-899-1958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS CARDIAC AND VASCULAR SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "726-208-3118"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472017901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472013801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459752801",
            "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 Feb 27, 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.