Individual provider Active NPI

Vicki Hubbard, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1588796601
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L7758 Issued in TX
Practice address
903 W Martin St
San Antonio, TX 78207-0903
Phone
(210) 358-9500
Fax
(210) 358-9183
NPI assigned
Mar 12, 2007
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L7758 TX Primary

Addresses

Primary practice location

903 W Martin St
San Antonio, TX 78207-0903

Mailing address

PO Box 734812
Dallas, TX 75373-4812
Phone (210) 358-9500

Other practice location 1

4800 Fredericksburg Rd
Ste. 127
San Antonio, TX 78229-3628
Phone (210) 733-5072

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vhubbard24986@uhssa.direct-ci.com

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
I20050119000665 TX Practitioner - Family Practice 6901855709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians

Practice addresses (Care Compare)

903 W Martin
Robert B Green CL Pav Exp Med
San Antonio, TX 78207-0903
Phone (210) 358-5510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7758TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Vpa of Texas PLLC Family Medicine CurrentSince Mar 9, 2015 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 9, 2015 Accepting new patients
Vpa of Texas PLLC Family Medicine Current Accepting new patients
Pain Management Specialists CurrentSince Feb 7, 2021 Accepting new patients

Locations

4800 Fredericksburg Rd
Ste 127
San Antonio, TX 78229
Phone (210) 348-5681

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

903 W Martin St
San Antonio, TX 78207
Phone (210) 358-3400

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

903 W Martin St
#B
San Antonio, TX 78207
Phone (210) 358-3441

903 W Martin St
Ste 492
San Antonio, TX 78207

Interoperability endpoints

  • Direct secure messaging: vhubbard24986@uhssa.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1588796601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734812",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734812",
            "telephone_number": "210-358-9500",
            "fax_number": "210-358-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W MARTIN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782070903",
            "telephone_number": "210-358-9500",
            "fax_number": "210-358-9183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Fredericksburg Rd",
            "address_2": "Ste. 127",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293628",
            "country_code": "US",
            "telephone_number": "210-733-5072",
            "fax_number": "210-733-8649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "VICKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vhubbard24986@uhssa.direct-ci.com",
            "affiliation": "N",
            "address_1": "903 W Martin St",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782070903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.