Individual provider Active NPI

Stella Koretsky, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1487841342
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8093 Issued in TX
Practice address
9002 Culebra Rd
Suite 105
San Antonio, TX 78251-2873
Phone
(210) 802-3777
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M8093 TX Primary

Addresses

Primary practice location

9002 Culebra Rd
Suite 105
San Antonio, TX 78251-2873

Mailing address

9022 Culebra Rd Ste 112
San Antonio, TX 78251-2887
Phone (210) 802-3777

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
I20071218000459 TX Practitioner - Family Practice 3870683543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9022 Culebra Rd
Suite 112
San Antonio, TX 78251-2887
Phone (210) 802-3777

Hospital & facility affiliations

  • Atlas Health, LLC Home health agency, San Antonio, TX, CCN 747814
  • Christus Vna Homecare San Antonio Home health agency, San Antonio, TX, CCN 457777
  • Pam Health at Home Home health agency, Buda, TX, CCN 747688
  • Santa Rita Home Health Services Home health agency, San Antonio, TX, CCN 459303
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237
  • Warm Springs Rehab Hospital of San Antonio LLC Inpatient rehabilitation facility, San Antonio, TX, CCN 453035

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.06
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8093TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westover Primary Care Clinic PLLC Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Westover Hills Primary Care Family Medicine CurrentSince Nov 13, 2018 Accepting new patients

Locations

9022 Culebra Rd
Ste 112
San Antonio, TX 78251
Phone (210) 802-3777

9022 Culebra Rd
Ste 109
San Antonio, TX 78251
Phone (210) 802-3777

Interoperability endpoints

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

Organizations & group practices 2

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 7

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1487841342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9022 CULEBRA RD STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512887",
            "telephone_number": "210-802-3777",
            "fax_number": "210-819-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 CULEBRA RD",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512873",
            "telephone_number": "210-802-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORETSKY",
        "first_name": "STELLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.