Individual provider Active NPI

Ian Marco Enriquez, DO

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1538746359
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T9389 Issued in TX
Practice address
328 W Houston St
San Antonio, TX 78205-2415
Phone
(210) 225-3764
NPI assigned
Mar 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X T9389 TX Primary

Addresses

Primary practice location

328 W Houston St
San Antonio, TX 78205-2415

Mailing address

14310 Redbud Valley TRL
Houston, TX 77062-2157

Other practice location 1

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

Other practice location 2

8550 Huebner Rd
San Antonio, TX 78240-1803
Phone (210) 541-5300

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
I20250804001142 TX Practitioner - Psychiatry 9032627849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Psychiatric ServicesGroup PAC ID 9335522218, 8 clinicians

Practice addresses (Care Compare)

8550 Huebner Rd
San Antonio, TX 78240-1803
Phone (210) 541-5300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Psychiatric Services Psychiatry CurrentSince Aug 1, 2025 Accepting new patients
Alamo Psychiatric Care P. a. CurrentSince Aug 28, 2025 Accepting new patients

Locations

1450 W Long Lake Rd
Ste 340
Troy, MI 48098
Phone (248) 839-5381

3101 S Austin Ave
Georgetown, TX 78626
Phone (512) 819-1100

328 W Houston St
San Antonio, TX 78205
Phone (210) 225-3764

8550 Huebner Rd
San Antonio, TX 78240
Phone (210) 229-9085

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1845df8d-054c-4f01-87bb-96587b55c793/

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.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1538746359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 REDBUD VALLEY TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W HOUSTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052415",
            "telephone_number": "210-225-3764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 Barlite Blvd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782241308",
            "country_code": "US",
            "telephone_number": "210-921-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8550 Huebner Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401803",
            "country_code": "US",
            "telephone_number": "210-541-5300",
            "fax_number": "210-541-5310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "IAN",
        "middle_name": "MARCO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T9389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.