NPIMap

Individual provider Active NPI

Paul Nevitt, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1518932045
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L1951 Issued in TX
Practice address
311 Camden St
Suite 208
San Antonio, TX 78215-2012
Phone
(210) 892-0228
Fax
(210) 455-0169
NPI assigned
Feb 20, 2006
Last updated
Feb 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L1951 TX Primary
Vascular & Interventional Radiology Physician 2085R0204X L1951 TX

Addresses

Primary practice location

311 Camden St
Suite 208
San Antonio, TX 78215-2012

Mailing address

311 Camden St
Suite 208
San Antonio, TX 78215-2012
Phone (210) 892-0228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040605000264 TX Practitioner - Diagnostic Radiology 7315929072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mands Radiology Associates PAGroup PAC ID 3173505088, 54 clinicians
VHS San Antonio Imaging Partners LPGroup PAC ID 5395723787, 69 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000

1763 Medical Way
Baptist Mands Imaging New Braunfels
New Braunfels, TX 78132-4521
Phone (210) 785-2500

215 E Quincy St
Suite 100
San Antonio, TX 78215-2032
Phone (210) 351-0784

3011 W Loop 1604
San Antionio, TX 78251-3901

3327 Research PLZ
San Antonio, TX 78235-5156
Phone (210) 423-3950

4103 N Loop 1604 W
107 The Orthopedic and Neurologic Imaging
San Antonio, TX 78249-1380
Phone (210) 785-2519

8815 Village Dr
San Antonio, TX 78217-5415
Phone (210) 590-5822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.84 of 100Reported as group
Quality
99.37
Improvement activities
40
Cost
80.16

Merit-based Incentive Payment System (MIPS)

Final score
85.83 of 100Reported as group
Quality
83.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1951TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M&S Radiology Associates, PA CurrentSince Mar 1, 2004 Accepting new patients
VHS San Antonio Imaging Partners, LP Diagnostic Radiology CurrentSince May 1, 2004 Accepting new patients
VHS San Antonio Partners, LLC Past Accepting new patients

Locations

11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

124 Dallas St
San Antonio, TX 78205
Phone (210) 224-1771

215 E Quincy St
Ste 100
San Antonio, TX 78215
Phone (210) 351-0784

311 Camden St
Ste 208
San Antonio, TX 78215
Phone (210) 227-6461

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

540 Madison Oak Dr
Ste 160
San Antonio, TX 78258
Phone (210) 403-1600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1518932045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST",
            "address_2": "SUITE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152012",
            "telephone_number": "210-892-0228",
            "fax_number": "210-455-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CAMDEN ST",
            "address_2": "SUITE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152012",
            "telephone_number": "210-892-0228",
            "fax_number": "210-455-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVITT",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L1951",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "L1951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.