Michael Reidar Dybdal-Hargreaves, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

V9301 Issued in TX

Practice address

8210 Callaghan Rd
San Antonio, TX 78230-4775

Phone

(210) 233-7000

NPI assigned

Apr 15, 2021

Last updated

Jul 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Family PracticeAlso: Sports Medicine

Education

University of Texas Medical School at San Antonio, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barrio Comprehensive Family Health Care Center,IncGroup PAC ID 1153226691, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Barrio Comprehensive Family Health Care Center, Inc.

  dba CommuniCare Health Centers

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1902883739
  Medicare reassignment Care Compare group NPD
• Barrio Comprehensive Family Health Care Center, Inc

  dba Communicare Health Centers

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1003228750
  NPD
• Barrio Comprehensive Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Marcos, TX
  • NPI 1295601052
  NPD

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1487235040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304775",
            "telephone_number": "210-233-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Garth Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775213159",
            "country_code": "US",
            "telephone_number": "832-548-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYBDAL-HARGREAVES",
        "first_name": "MICHAEL",
        "middle_name": "REIDAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "V9301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Michael Dwyer, M.D.
• Sara L Dwyer, OT
• Laura Dy
• Madison Dyal
• Deanna Dyall, RN
• Nicholas Dybdal-Hargreaves, DDS, PHD
• Wendy Maria Dych, LPN
• Stanislaus Dyda, DDS
• Barbara Racheal Dyer, OTR
• Christopher Anthony Dyer, MD

• Sports Medicine (Family Medicine) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.