Active NPI
Michael Konopacki, M.D.
- Family Medicine Physician
- Boerne, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P1341
- Practice address
- 105 Falls CT
Ste 100
Boerne, TX 78006-2985 - Phone
- (830) 249-3800
- Fax
- (830) 249-0882
- NPI assigned
- Jul 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P1341 | TX | Primary |
Addresses
Primary practice location
105 Falls CT
Ste 100
Boerne, TX 78006-2985
Mailing address
2961 Mossrock
San Antonio, TX 78230-5119
Phone (210) 731-4800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 Falls CT
Suite 100
Boerne, TX 78006-2986
Phone (830) 249-3800
Hospital & facility affiliations
- Crest Home Health
- Centerwell Home Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Primecare, Inc | Family Medicine | Current | Accepting new patients |
| Hill Country Medicine | Past | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
105 Falls Ct
Ste 100
Boerne, TX 78006
Phone (830) 249-3800
911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402
2911 S New Braunfels Ave
San Antonio, TX 78210
Phone (210) 377-1133
2961 Mossrock
San Antonio, TX 78230
Phone (210) 731-4800
Interoperability endpoints
- michael.konopacki@arhc.eclinicaldirectplus.com
- https://api.platform.athenahealth.com/4057/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Internal Medicine Physician
- Boerne, TX
- NPI 1891984837
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Antonio, TX
- NPI 1235148933
-
- Home Health Agency
- Boerne, TX
- NPI 1891807277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1487817102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2961 MOSSROCK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305119",
"telephone_number": "210-731-4800",
"fax_number": "210-731-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 FALLS CT",
"address_2": "STE 100",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062985",
"telephone_number": "830-249-3800",
"fax_number": "830-249-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONOPACKI",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-02",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P1341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.