NPIMap

Individual provider Active NPI

Alejandro Arizmendi, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Helotes, TX
National Provider Identifier
1457317232
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
M7015 Issued in TX
Practice address
12002 Bandera Rd
111
Helotes, TX 78023-4668
Phone
(210) 695-9002
NPI assigned
Apr 21, 2006
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01058184A IN
Geriatric Medicine (Internal Medicine) Physician 207RG0300X M7015 TX Primary

Addresses

Primary practice location

12002 Bandera Rd
111
Helotes, TX 78023-4668

Mailing address

12002 Bandera Rd
111
Helotes, TX 78023-4668
Phone (210) 695-9002

Other identifiers 1

IdentifierTypeStateIssuer
200104370MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080104000218 TX Practitioner - Geriatric MedicinePractitioner - Internal Medicine 1052366366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12002 Bandera Rd
Suite 111
Helotes, TX 78023-4669
Phone (210) 695-9002

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01058184AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alejandro Arizmendi MD PLLC Geriatric Medicine CurrentSince Dec 1, 2012 Accepting new patients
Indiana University Health, Inc Geriatric Medicine Past Accepting new patients
Jose F. Pena, MD & Associates PA Past Accepting new patients

Locations

12002 Bandera Rd
Ste 111
Helotes, TX 78023
Phone (210) 695-9002

12002 Bandera Rd
Helotes, TX 78023

12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230

Interoperability endpoints

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

Organizations & group practices 3

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 6

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1457317232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12002 BANDERA RD",
            "address_2": "111",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234668",
            "telephone_number": "210-695-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 BANDERA RD",
            "address_2": "111",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234668",
            "telephone_number": "210-695-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIZMENDI",
        "first_name": "ALEJANDRO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01058184A",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "M7015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200104370",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

Verify at the official NPI Registry.