Active NPI
Lydia Grace Roward, MD
- Orthopaedic Surgery Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- W2120
- Practice address
- 8811 Village Dr
San Antonio, TX 78217-5415 - Phone
- (210) 297-2000
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Orthopaedic Surgery Physician | 207X00000X | 4271085 | ID | |
| Orthopaedic Surgery Physician | 207X00000X | W2120 | TX | Primary |
| Orthopaedic Trauma Physician | 207XX0801X | 92082 | SC | |
| General Practice Physician | 208D00000X | 0101271452 | VA |
Addresses
Primary practice location
8811 Village Dr
San Antonio, TX 78217-5415
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-7500
Other practice location 1
625 Pole Line Rd W Ste 1B
Twin Falls, ID 83301-4269
Phone (208) 825-2007
Other practice location 2
105 Doctors Dr
Greenville, SC 29605-5608
Phone (864) 797-7060
Other practice location 3
701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 455-7000
Other practice location 4
3551 Roger Brooke Drive
JBSA-Ft Sam Houston, TX 78234-4504
Phone (210) 916-1284
Other practice location 5
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 302-3900
Other names 1
- Lydia Grace Kore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, ID, SD, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Loma Linda University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2805 5TH St
Rapid City, SD 57701-6003
Phone (605) 646-0953
575 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone (208) 814-9200
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101271452 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Surgery Medical Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Acute Care Surgery of South Dakota PC | Orthopaedic Surgery | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Acute Care Surgical Affiliates of Texas PA | Orthopaedic Surgery | Current | Accepting new patients |
| Surgical Affiliates of California | Current | Accepting new patients |
Locations
801 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000
625 Pole Line Rd W
Ste 1B
Twin Falls, ID 83301
Phone (208) 814-8100
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
105 Doctors Dr
Greenville, SC 29605
Phone (864) 797-7060
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
2805 5th St
Rapid City, SD 57701
Phone (605) 719-5650
2965 Harrison Ave
Ste 217
Beaumont, TX 77702
Phone (409) 203-3055
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
Organizations & group practices 7
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.
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
ID, Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1730797184
-
- Surgery Physician
- Corpus Christi, TX
- NPI 1407322415
Orthopaedic Surgery
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1578024170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8811 VILLAGE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175415",
"telephone_number": "210-297-2000"
}
],
"practiceLocations": [
{
"address_1": "625 Pole Line Rd W Ste 1B",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833014269",
"country_code": "US",
"telephone_number": "208-825-2007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 Doctors Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296055608",
"country_code": "US",
"telephone_number": "864-797-7060",
"fax_number": "864-797-7065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Grove Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054210",
"country_code": "US",
"telephone_number": "864-455-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3551 Roger Brooke Drive",
"address_purpose": "LOCATION",
"city": "JBSA-Ft Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-916-1284",
"fax_number": "210-916-7323",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1055 N Curtis Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837061309",
"country_code": "US",
"telephone_number": "208-302-3900",
"fax_number": "208-302-3955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROWARD",
"first_name": "LYDIA",
"middle_name": "GRACE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "4271085",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "W2120",
"primary": true
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "SC",
"license": "92082",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101271452",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYDIA",
"last_name": "KORE",
"middle_name": "GRACE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.