Individual provider Active NPI

George Palomino, MD

  • Cardiovascular Disease Physician
  • Live Oak, TX
National Provider Identifier
1548211477
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L7090 Issued in TX
Practice address
12709 Toepperwein Rd Ste 306
Live Oak, TX 78233-3223
Phone
(210) 967-0096
Fax
(210) 967-0383
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L7090 TX Primary

Addresses

Primary practice location

12709 Toepperwein Rd Ste 306
Live Oak, TX 78233-3223

Mailing address

4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone (210) 614-5400

Other practice location 1

1352 E Walnut St
Seguin, TX 78155-5126
Phone (830) 244-0334

Other identifiers 4

IdentifierTypeStateIssuer
TXB134908OtherTXMEDICARE
168764204MedicaidTX
8CY185OtherBCBS TX
P00979607OtherTXRAILROAD MEDICARE

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
I20051209000320 TX Practitioner - Cardiovascular Disease (Cardiology) 0143241869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Medical School at San Antonio, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians

Practice addresses (Care Compare)

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 650-4949

4411 Medical Dr
San Antonio, TX 78229-3824

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7090TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince Sep 4, 2018 Accepting new patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince Sep 4, 2018 Accepting new patients
Cardiology Clinic of San Antonio, PLLC Cardiovascular Disease CurrentSince Sep 1, 2011 Accepting new patients
Methodist Medical Group, PLLC Cardiovascular Disease Past Accepting new patients
William E Craig MD PA Cardiovascular Disease Past Accepting new patients
San Antonio Cardiology Clinic PA Cardiovascular Disease Past Accepting new patients
Mission Cardiovascular Consultants Past Accepting new patients
Inpatient Management Medical Group Inc Past Accepting new patients
Imed Healthcare Associates, PLLC Past Accepting new patients

Locations

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

12500 Judson Rd
Ste 300
Live Oak, TX 78233
Phone (210) 473-0246

12709 Toepperwein Rd
Ste 306
Live Oak, TX 78233
Phone (210) 381-6533

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

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

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

1352 E Walnut St
Seguin, TX 78155
Phone (830) 379-1500

Interoperability endpoints

  • Direct secure messaging: 3543-palomino-george@direct.leadingreach.com
  • Direct secure messaging: george.palomino@hca7.eclinicaldirectplus.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548211477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD STE 306",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333223",
            "telephone_number": "210-967-0096",
            "fax_number": "210-967-0383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1352 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Seguin",
            "state": "TX",
            "postal_code": "781555126",
            "country_code": "US",
            "telephone_number": "830-244-0334",
            "fax_number": "210-614-2413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALOMINO",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L7090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB134908",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168764204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8CY185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00979607",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.