Juan Carlos Prieto, M.D.

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

N8708 Issued in TX

Practice address

4499 Medical Dr Ste 360
San Antonio, TX 78229-3857

Phone

(210) 615-1600

Fax

(210) 615-1601

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pediatric MedicineAlso: Urology

Education

San Juan Bautista School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sa Pediatric UrologyGroup PAC ID 8123505773, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jprieto416322@christushealth.direct-ci.net

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.

• Sa Pediatric Urology

  • Pediatric Urology Physician
  • San Antonio, TX
  • NPI 1578309951
  Medicare reassignment Care Compare group NPD Authorized official
• Magella Medical Associates Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Round Rock, TX
  • NPI 1083631071
  Medicare reassignment NPD
• Children'S Physician Services of South Texas

  • Plastic Surgery Physician
  • Corpus Christi, TX
  • NPI 1568658227
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1609071489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 360",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293857",
            "telephone_number": "210-615-1600",
            "fax_number": "210-615-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 360",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293857",
            "telephone_number": "210-615-1600",
            "fax_number": "210-615-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TX",
            "license": "N8708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203286401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ami Prieto, RN
• Bernadino Prieto
• Elias Mateo Prieto, M.D.
• Eva Yadira Prieto, RN
• James Prieto, MD
• Luis Gaston Prieto, M.D.
• Victor Prieto Jr., M.A., L.P.C.
• Yesenia Elizabeth Prieto, PTA
• Aurelio Prifitera, PHD
• Primary Home Health Texas LLC

• Pediatric Urology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.

Verify at the official NPI Registry.