Organization Active NPI

Alamo Heights Medical Clinic PLLC

Doing business as Alamo Heights Surgery

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1487247284
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALAMO HEIGHTS MEDICAL CLINIC PLLC
Doing business as
Alamo Heights Surgery
Practice address
1419 Austin Hwy
San Antonio, TX 78209-4337
Phone
(210) 262-6413
NPI assigned
Feb 12, 2021
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Fnu Rajlakshmi, MDNPI 1588951586
Title
Owner
Phone
(210) 262-6413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Surgery Physician 208600000X NU

Addresses

Primary practice location

1419 Austin Hwy
San Antonio, TX 78209-4337

Mailing address

128 Auburn PL
San Antonio, TX 78209-4722
Phone (210) 262-6413

Other practice location 1

128 Auburn Pl
San Antonio, TX 78209-4722
Phone (210) 262-6413

Other names 1

  • Alamo Heights Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210302000069 TX Part B Supplier - Clinic/Group Practice 1355757204 Receives reassigned benefits from 4 practitioners
Practice locations: Jourdanton, TX; San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2312156Alamo Heights Medical Clinic, PLLC1419 Austin Hwy, San Antonio, TX 78209Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1487247284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 AUBURN PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094722",
            "telephone_number": "210-262-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 AUSTIN HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094337",
            "telephone_number": "210-262-6413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Auburn Pl",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782094722",
            "country_code": "US",
            "telephone_number": "210-262-6413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALAMO HEIGHTS MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "RAJLAKSHMI",
        "authorized_official_first_name": "FNU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-262-6413",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Heights Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.