Active NPI
Robert A De Lorenzo, MD
- Emergency Medicine Physician
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- K3708
- Practice address
- Bamc - 3851 Roger Brooke Drive
McHe-QD (Creds)
Fort Sam Houston, TX 78234-6200 - Phone
- (210) 916-1006
- Fax
- (210) 916-2265
- NPI assigned
- Jul 9, 2006
- Last updated
- Nov 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | K3708 | TX | Primary |
Addresses
Primary practice location
Bamc - 3851 Roger Brooke Drive
McHe-QD (Creds)
Fort Sam Houston, TX 78234-6200
Mailing address
Bamc - 3851 Roger Brooke Drive
McHe-QD (Creds)
Fort Sam Houston, TX 78234-6200
Phone (210) 916-1006
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Albany Medical College of Union University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Victoria Emergency Associates LLC | Emergency Medicine | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients |
Locations
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 567-6405
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
Organizations & group practices 4
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.
-
dba UT Health Physicians
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
- Emergency Medicine Physician
- Victoria, TX
- NPI 1407917164
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
dba UT Health Imaging
- Diagnostic Radiology Physician
- Boerne, TX
- NPI 1417921834
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Health
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1548293905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BAMC - 3851 ROGER BROOKE DRIVE",
"address_2": "MCHE-QD (CREDS)",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782346200",
"telephone_number": "210-916-1006",
"fax_number": "210-916-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAMC - 3851 ROGER BROOKE DRIVE",
"address_2": "MCHE-QD (CREDS)",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782346200",
"telephone_number": "210-916-1006",
"fax_number": "210-916-2265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LORENZO",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "K3708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.