Retina Associates of South Texas, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RETINA ASSOCIATES OF SOUTH TEXAS, P.A.

Practice address

9910 Huebner Rd
Suite 100
San Antonio, TX 78240-1336

Phone

(210) 615-7600

Fax

(210) 615-8505

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Timothy Paul Cleland, M.D.NPI 1578676037

Title

President

Phone

(210) 615-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 7

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

• Timothy Paul Cleland, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • San Antonio, TX
  • NPI 1578676037
  Medicare reassignment Care Compare group NPD Authorized official
• Enchun Mike Liu, MD

  • Retina Specialist (Ophthalmology) Physician
  • San Antonio, TX
  • NPI 1285878983
  Medicare reassignment Care Compare group NPD
• Huy Duy Nguyen, MD

  • Retina Specialist (Ophthalmology) Physician
  • San Antonio, TX
  • NPI 1578068623
  Medicare reassignment Care Compare group NPD
• Juan Elias Rubio Jr., M.D.

  • Specialist
  • San Antonio, TX
  • NPI 1639148711
  Medicare reassignment Care Compare group NPD
• Waseem Ansari, M.D.

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1629496849

  TX

  Medicare reassignment Care Compare group NPD
• Lina M Marouf, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • San Antonio, TX
  • NPI 1700999273
  Medicare reassignment NPD
• Henry Choi, MD

  • Ophthalmology Physician
  • Desoto, TX
  • NPI 1699734723
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497869796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782920356",
            "telephone_number": "210-615-7600",
            "fax_number": "210-615-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 HUEBNER RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401336",
            "telephone_number": "210-615-7600",
            "fax_number": "210-615-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES OF SOUTH TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLELAND",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-615-7600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079907401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santiago Restrepo
• Norma Reta
• James Daniel Rethaber
• Retina and Uveitis Consultants of Texas PA
• Retina and Vitreous of San Antonio
• Retina Specialists of San Antonio, PLLC
• Retinal Consultants of San Antonio
• Jesse J. Rettele, L/CPO
• Shaylon Dwayne Rettig, M.D.
• Veronica Rettig, MSNA

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.