Individual provider Active NPI

Sannya Vidyadhar Hede, MD

  • Pediatric Cardiology Physician
  • San Antonio, TX
National Provider Identifier
1457778730
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
S7230 Issued in TX
Practice address
4499 Medical Dr Ste 289
San Antonio, TX 78229-3712
Phone
(210) 614-3264
Fax
(210) 615-0888
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X S7230 TX Primary

Addresses

Primary practice location

4499 Medical Dr Ste 289
San Antonio, TX 78229-3712

Mailing address

4499 Medical Dr Ste 289
San Antonio, TX 78229-3712
Phone (210) 614-3264

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211207000951 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 8820494396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Baylor College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children'S Physician Services of South TexasGroup PAC ID 3678478872, 65 clinicians

Practice addresses (Care Compare)

3533 S Alameda St
Corpus Christi, TX 78411-1721

5500 N Expressway
77 Suite 201
Brownsville, TX 78411-1721
Phone (956) 698-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S7230TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Physician Services of South Texas Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Magella Medical Associates Billing, Inc. Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Children'S Physician Services of South Texas Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Methodist Physician Practices, PLLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3533 S Alameda St
Ste 202
Corpus Christi, TX 78411
Phone (361) 694-5086

3533 S Alameda St
Ste 203
Corpus Christi, TX 78411

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

4499 Medical Dr
Ste 289
San Antonio, TX 78229
Phone (210) 614-3264

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Interoperability endpoints

  • Direct secure messaging: shede110177@direct.phhs.org
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1457778730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 289",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293712",
            "telephone_number": "210-614-3264",
            "fax_number": "210-615-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 289",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293712",
            "telephone_number": "210-614-3264",
            "fax_number": "210-615-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDE",
        "first_name": "SANNYA",
        "middle_name": "VIDYADHAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "S7230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.