Individual provider Active NPI

Jose Enrique Barrera, M.D., F.A.C.S.

  • Facial Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1619966686
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
N3480 Issued in TX
Practice address
14603 Huebner Road BLDG 1
Suite 102
San Antonio, TX 78230-7823
Phone
(210) 468-5426
Fax
(210) 764-5440
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Otolaryngology) Physician 207YS0012X A95717 CA
Sleep Medicine (Otolaryngology) Physician 207YS0012X N3480 TX
Facial Plastic Surgery Physician 207YS0123X A95717 CA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 39421 CO
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0122X N3480 TX
Facial Plastic Surgery Physician 207YS0123X N3480 TX Primary

Addresses

Primary practice location

14603 Huebner Road BLDG 1
Suite 102
San Antonio, TX 78230-7823

Mailing address

14603 Huebner Rd Ste 102
San Antonio, TX 78230-5469
Phone (210) 684-5426

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
I20141118002248 TX Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 3072619691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of Colorado School of Medicine, Denver, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14603 Huebner Rd
San Antonio, TX 78230-5469
Phone (210) 468-5426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95717CAMDSleep Medicine (Otolaryngology) Physician
39421COMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Center - Shavano Park Current Accepting new patients
Academy Diagnostics LLC CurrentSince Jul 1, 2017 Accepting new patients
Endormir Surgical PLLC Single Specialty CurrentSince Aug 4, 2014 Accepting new patients
Jose Barrera, MD PLLC Otolaryngology/Facial Plastic Surgery Past Accepting new patients
Emergenchealth PLLC Single Specialty PastSince Feb 23, 2020 Accepting new patients
Texas Center for Facial Plastic & Laser Surgery, LLC Single Specialty PastSince Feb 23, 2020 Accepting new patients

Locations

14603 Huebner Rd
Bldg 1
San Antonio, TX 78230
Phone (210) 468-5426

14603 Huebner Rd
Ste 101
San Antonio, TX 78230
Phone (210) 468-5426

Organizations & group practices 6

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1619966686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305469",
            "telephone_number": "210-684-5426",
            "fax_number": "210-764-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER ROAD BLDG 1",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782307823",
            "telephone_number": "210-468-5426",
            "fax_number": "210-764-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "JOSE",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "CA",
            "license": "A95717",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "TX",
            "license": "N3480",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A95717",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CO",
            "license": "39421",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "N3480",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "N3480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.