Individual provider Active NPI

Rebecca A Rocha-Davis, MD

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1568468288
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L6159 Issued in TX
Practice address
7922 Ewing Halsell Dr
Suite 440
San Antonio, TX 78229-3726
Phone
(210) 614-2500
Fax
(210) 614-2755
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L6159 TX Primary

Addresses

Primary practice location

7922 Ewing Halsell Dr
Suite 440
San Antonio, TX 78229-3726

Mailing address

7922 Ewing Halsell Dr
Suite 440
San Antonio, TX 78229-3726
Phone (210) 614-2500

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
I20151217000253 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6305147331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6159TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Medicine, PA Pediatrics Past Accepting new patients
Pediatric Medicine, P.a. Pediatrics Past Accepting new patients

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1568468288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 EWING HALSELL DR",
            "address_2": "SUITE 440",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293726",
            "telephone_number": "210-614-2500",
            "fax_number": "210-614-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 EWING HALSELL DR",
            "address_2": "SUITE 440",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293726",
            "telephone_number": "210-614-2500",
            "fax_number": "210-614-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA-DAVIS",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L6159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.