Organization Active NPI

SW Diagnostic Center, PA

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1497789465
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E8607 Issued in TX
Legal business name
SW DIAGNOSTIC CENTER, PA
Practice address
88 Briggs St
Suite 110
San Antonio, TX 78224-1271
Phone
(210) 921-0902
Fax
(210) 923-8220
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Dr. Vidya Kamath, MDNPI 1134153109
Title
President
Phone
(210) 921-1298

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X E8607 TX Primary

Addresses

Primary practice location

88 Briggs St
Suite 110
San Antonio, TX 78224-1271

Mailing address

PO Box 241000
San Antonio, TX 78224-8000
Phone (210) 921-1298

Other names 1

  • Southwest Diagnostic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120227000821 TX Part B Supplier - Clinic/Group Practice 2466610167 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1497789465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241000",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782248000",
            "telephone_number": "210-921-1298",
            "fax_number": "210-923-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BRIGGS ST",
            "address_2": "SUITE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241271",
            "telephone_number": "210-921-0902",
            "fax_number": "210-923-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW DIAGNOSTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "KAMATH",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-921-1298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E8607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Diagnostic",
            "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 Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.