Active NPI
Ahmad Hashem Altarawneh
- Nephrology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- T3238
- Practice address
- 4458 Medical Dr Ste 505
San Antonio, TX 78229-3748 - Phone
- (210) 690-7400
- Fax
- (210) 690-7405
- NPI assigned
- Aug 9, 2011
- Sex
- Male
- Sole proprietor
- No
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 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
Hospital
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
Hospital
-
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
Hospital
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
Hospital
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Ips LLC
Practice addresses (Care Compare)
1434 E Sonterra Blvd
Suite 210
San Antonio, TX 78258-4973
Phone (210) 690-7400
4458 Medical Dr
Suite 505
San Antonio, TX 78229-3748
Phone (210) 690-7400
4499 Medical Dr
Suite 150
San Antonio, TX 78229-3735
Phone (210) 690-7400
Hospital & facility affiliations
- Methodist Hospital
- Methodist Hospital Stone Oak
- Peterson Regional Medical Center
- Hill Country Memorial Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121231000122 | ME | Practitioner - Internal Medicine | 3173776002 | Reassigns benefits to 1 organization |
| I20211208001591 | TX | Practitioner - Critical Care (Intensivists) | 3173776002 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000000000000000 | NJ | MD | Dentist |
| MD19287 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Ips LLC | Critical Care Medicine | Current | Accepting new patients |
Locations
34910 Interstate 10 W
Ste 601
Boerne, TX 78006
Phone (830) 248-1207
4499 Medical Dr
Ste 150
San Antonio, TX 78229
Phone (210) 614-8181
4458 Medical Dr
Ste 505
San Antonio, TX 78229
4499 Medical Dr
#150
San Antonio, TX 78229
Phone (210) 614-8181
4499 Medical Dr
San Antonio, TX 78229
Phone (210) 575-4325
1434 E Sonterra Blvd
Ste 210
San Antonio, TX 78258
Phone (210) 481-3119
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD19287 | ME | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | T3238 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 00000000000000000000 | NJ | |
| Nephrology Physician | 207RN0300X | T3238 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4458 Medical Dr Ste 505
San Antonio, TX 78229-3748
Mailing address
100 Franklin St Apt 207D
Morristown, NJ 07960-5440
Phone (612) 607-3289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2021.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1487933446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 FRANKLIN ST APT 207D",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079605440",
"telephone_number": "612-607-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4458 MEDICAL DR STE 505",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293748",
"telephone_number": "210-690-7400",
"fax_number": "210-690-7405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTARAWNEH",
"first_name": "AHMAD",
"middle_name": "HASHEM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-09",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD19287",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "T3238",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NJ",
"license": "00000000000000000000",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "T3238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 30, 2021; 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.