Individual provider Active NPI

Guillermo I Rocha, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1548269335
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G6382 Issued in TX
Practice address
517 SW Military Dr Ste 106
San Antonio, TX 78221-1639
Phone
(210) 921-0322
Fax
(210) 921-1451
NPI assigned
Jul 14, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 G6382 TX Primary

Addresses

Primary practice location

517 SW Military Dr Ste 106
San Antonio, TX 78221-1639

Mailing address

517 SW Military Dr Ste 106
San Antonio, TX 78221-1639
Phone (210) 921-0322

Other names 1

  • Dr. Guillermo I Rocha Professional name

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
I20070502000414 TX Practitioner - Internal Medicine 0042315814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

448 Castroville Rd
San Antonio, TX 78207-5147
Phone (210) 434-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G6382TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients

Locations

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

517 SW Military Dr
Ste 106
San Antonio, TX 78221
Phone (210) 921-0322

3727 Roosevelt Ave
San Antonio, TX 78214
Phone (210) 922-5922

19575 K St
Somerset, TX 78069
Phone (210) 922-1144

Interoperability endpoints

  • Direct secure messaging: guillermo.rocha@wellmed.eclinicaldirectplus.com

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1548269335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 SW MILITARY DR STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211639",
            "telephone_number": "210-921-0322",
            "fax_number": "210-921-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 SW MILITARY DR STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211639",
            "telephone_number": "210-921-0322",
            "fax_number": "210-921-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "GUILLERMO",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G6382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUILLERMO",
            "last_name": "ROCHA",
            "middle_name": "I",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.