Individual provider Active NPI

Hoan Q Pho, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1598766172
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J 7359 Issued in TX
Practice address
10007 Huebner Rd
Ste 106
San Antonio, TX 78240-1646
Phone
(210) 541-4164
Fax
(210) 541-4168
NPI assigned
Aug 9, 2005
Last updated
Aug 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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 J 7359 TX Primary

Addresses

Primary practice location

10007 Huebner Rd
Ste 106
San Antonio, TX 78240-1646

Mailing address

10007 Huebner Rd
Ste 106
San Antonio, TX 78240-1646
Phone (210) 541-4164

Other identifiers 2

IdentifierTypeStateIssuer
O46107101 TXMedicaidTX
110231814OtherRAILROAD MEDICARE

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
I20100909000528 TX Practitioner - Internal Medicine 3072638451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13150 NW Military Hwy
San Antonio, TX 78231-1961
Phone (210) 541-4164

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
35.16 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
77.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J 7359TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Solution, LLC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients

Locations

10007 Huebner Rd
Ste 106
San Antonio, TX 78240
Phone (210) 298-9901

13150 NW Military Hwy
San Antonio, TX 78231
Phone (210) 492-0111

Organizations & group practices 1

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 5

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1598766172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10007 HUEBNER RD",
            "address_2": "STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401646",
            "telephone_number": "210-541-4164",
            "fax_number": "210-541-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10007 HUEBNER RD",
            "address_2": "STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401646",
            "telephone_number": "210-541-4164",
            "fax_number": "210-541-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHO",
        "first_name": "HOAN",
        "middle_name": "Q",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J 7359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O46107101 TX",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110231814",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.