NPIMap

Organization Active NPI

VHS San Antonio Imaging Partners, LP

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1457350993
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L04506 Issued in TX
Legal business name
VHS SAN ANTONIO IMAGING PARTNERS, LP
Practice address
215 E Quincy Street
Suite 100
San Antonio, TX 78215-2032
Phone
(210) 351-0784
Fax
(210) 351-0720
NPI assigned
Jul 18, 2005
Last updated
May 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Vickie Dear
Title
Officer/Authorized Official
Phone
(210) 681-6474

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X
Body Imaging Physician 2085B0100X
Neuroradiology Physician 2085N0700X
Nuclear Radiology Physician 2085N0904X
Diagnostic Radiology Physician 2085R0202X L04506 TX Primary
Vascular & Interventional Radiology Physician 2085R0204X
Diagnostic Ultrasound Physician 2085U0001X
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X

Addresses

Primary practice location

215 E Quincy Street
Suite 100
San Antonio, TX 78215-2032

Mailing address

16977 Ih 35 N Ste 220
Schertz, TX 78154-1472
Phone (210) 351-0784

Other identifiers 1

IdentifierTypeStateIssuer
165390902MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080213000317 TX Part B Supplier - Clinic/Group Practice 5395723787 Receives reassigned benefits from 90 practitioners
Practice locations: San Antonio, TX; Schertz, TX; New Braunfels, TX

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1763 Medical Way
New Braunfels, TX 78132
Phone (210) 785-2500

3011 W Loop 1604 N
Ste 112
San Antonio, TX 78251
Phone (210) 521-2989

3011 W Loop 1604 N
Ste 308
San Antonio, TX 78251
Phone (210) 681-6474

3327 Research Plz
Ste 105
San Antonio, TX 78235
Phone (210) 423-3950

3327 Research Plz
Ste 108
San Antonio, TX 78235
Phone (210) 423-3950

3903 Wiseman Blvd
Ste 125
San Antonio, TX 78251
Phone (210) 681-6474

4103 N Loop 1604 W
Ste 107
San Antonio, TX 78249
Phone (210) 785-2519

4212 E Southcross Blvd
Ste 100
San Antonio, TX 78222
Phone (210) 304-3430

4440 S Piedras Dr
Ste 100
San Antonio, TX 78228

5368 Fredericksburg Rd
Ste 305
San Antonio, TX 78229
Phone (210) 350-3115

540 Madison Oak Dr
Ste 160
San Antonio, TX 78258
Phone (210) 403-1600

7888 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 692-6824

8435 Wurzbach Rd
Ste 109
San Antonio, TX 78229
Phone (210) 350-3115

8815 Village Dr
San Antonio, TX 78217
Phone (210) 590-5822

Practitioners & affiliated clinicians

Practitioners 106

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.

View all 106

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1457350993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16977 IH 35 N STE 220",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541472",
            "telephone_number": "210-351-0784",
            "fax_number": "210-351-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E QUINCY STREET",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152032",
            "telephone_number": "210-351-0784",
            "fax_number": "210-351-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VHS SAN ANTONIO IMAGING PARTNERS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "DEAR",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "210-681-6474"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L04506",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165390902",
            "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 May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.