Individual provider Active NPI

Hernan Alfonso Salazar, D.O.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1538220892
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E9966 Issued in TX
Practice address
8600 Wurzbach Road
Suite 1206
San Antonio, TX 78240-4334
Phone
(210) 614-7711
NPI assigned
Dec 12, 2006
Last updated
May 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E9966 TX Primary

Addresses

Primary practice location

8600 Wurzbach Road
Suite 1206
San Antonio, TX 78240-4334

Mailing address

8600 Wurzbach Road
Suite 1206
San Antonio, TX 78240-4334
Phone (210) 614-7711

Other identifiers 1

IdentifierTypeStateIssuer
032304002MedicaidTX

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
I20140103000346 TX Practitioner - Internal MedicinePractitioner - General Practice 4284862962 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8600 Wurzbach Rd
San Antonio, TX 78240-4334
Phone (210) 614-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9966TXMDInternal Medicine Physician
E9977TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Wounds LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1538220892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 WURZBACH ROAD",
            "address_2": "SUITE 1206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404334",
            "telephone_number": "210-614-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 WURZBACH ROAD",
            "address_2": "SUITE 1206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404334",
            "telephone_number": "210-614-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "HERNAN",
        "middle_name": "ALFONSO",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E9966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032304002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.