Individual provider Active NPI

Abhishek Challa

  • Gastroenterology Physician
  • San Antonio, TX
National Provider Identifier
1477968659
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
94-09778 Issued in KS
Practice address
11212 State Highway 151 Medical Plaza, 1
Suite 250
San Antonio, TX 78251-4507
Phone
(210) 614-1234
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 7322 NE
Gastroenterology Physician 207RG0100X 94-09778 KS Primary

Addresses

Primary practice location

11212 State Highway 151 Medical Plaza, 1
Suite 250
San Antonio, TX 78251-4507

Mailing address

PO Box 206239
Dallas, TX 75320-6239
Phone (210) 614-1234

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
I20221013002509 TX Practitioner - Gastroenterology 1658621990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Practice addresses (Care Compare)

11212 State Hwy 151
Suite 250
San Antonio, TX 78251-4507
Phone (210) 614-1234

Hospital & facility affiliations

  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy105
Upper gastrointestinal (GI) endoscopy for acid reflux96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7322NEMDPediatric Dentist
94-09778KSMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Sep 15, 2022 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Sep 15, 2022 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients

Locations

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

5223 Hamilton Wolfe Rd
San Antonio, TX 78229
Phone 2106141234713

11212 State Highway 151
Ste 250
San Antonio, TX 78251
Phone (210) 703-8800

11212 State Highway 151
Ste 390
San Antonio, TX 78251
Phone (210) 523-7237

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1477968659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206239",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753206239",
            "telephone_number": "210-614-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151 MEDICAL PLAZA, 1",
            "address_2": "SUITE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514507",
            "telephone_number": "210-614-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLA",
        "first_name": "ABHISHEK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NE",
            "license": "7322",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "94-09778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.