Organization Active NPI

Apollo Medflight, LLC

Doing business as Apollo MedFlight - SkyCare

  • Air Ambulance
  • San Antonio, TX
National Provider Identifier
1457048563
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
APOLLO MEDFLIGHT, LLC
Doing business as
Apollo MedFlight - SkyCare
Practice address
4502 Medical Dr Ste 98-1
San Antonio, TX 78229-4402
Phone
(806) 322-4448
Fax
(888) 978-5029
NPI assigned
Apr 19, 2023
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Robert Dorris
Title
Cfo
Phone
(806) 242-9028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X Primary

Addresses

Primary practice location

4502 Medical Dr Ste 98-1
San Antonio, TX 78229-4402

Mailing address

PO Box 1365
Amarillo, TX 79105-1365
Phone (806) 242-9028

Other names 1

  • Apollo MedFlight - SkyCare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmarkham@apollomedflight.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000176 TX Part B Supplier - Ambulance Service Supplier 0143494583 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Antonio, TX; Pearland, TX; Dalhart, TX; Livingston, TX; Liberty, TX; Hempstead, TX; Borger, TX; Amarillo, TX

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
45D2280744Apollo Medflight4502 Medical Drive, Suite 98-1, San Antonio, TX 78229Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Apollo Medflight LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

935 Paul Wilkins St
San Antonio, TX 78216
Phone (806) 242-9028

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1457048563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1365",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791051365",
            "telephone_number": "806-242-9028",
            "fax_number": "888-978-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR STE 98-1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "806-322-4448",
            "fax_number": "888-978-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO MEDFLIGHT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "DORRIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "806-242-9028"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmarkham@apollomedflight.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4502 Medical Dr Ste 98-1",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782294402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Apollo MedFlight - SkyCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apollo MedFlight - SkyCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 9, 2024; 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.