NPIMap

Organization Active NPI

Diabetes and Metabolism Specialists

  • Endocrinology, Diabetes & Metabolism Physician
  • Shavano Park, TX
National Provider Identifier
1629099247
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
DIABETES AND METABOLISM SPECIALISTS
Practice address
4118 Pond Hill Rd
Building 3
Shavano Park, TX 78231-1281
Phone
(210) 494-3739
Fax
(210) 494-4508
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Dr. Michelle D WelchNPI 1891764957
Title
M.D.
Phone
(210) 494-3739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

4118 Pond Hill Rd
Building 3
Shavano Park, TX 78231-1281

Mailing address

4118 Pond Hill Rd
Building 3
Shavano Park, TX 78231-1281
Phone (210) 494-3739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061018000684 TX Part B Supplier - Clinic/Group Practice 5496751273 Receives reassigned benefits from 9 practitioners
Practice locations: Shavano Park, TX

National Provider Directory

National Provider Directory

Locations

525 Oak Centre Dr
Ste 320
San Antonio, TX 78258
Phone (210) 494-3739

4118 Pond Hill Rd
Ste 300
Shavano Park, TX 78231
Phone (210) 494-3739

4118 Pond Hill Rd
Bldg 3
Shavano Park, TX 78231
Phone (210) 494-3739

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEADA

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1629099247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 POND HILL RD",
            "address_2": "BUILDING 3",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311281",
            "telephone_number": "210-494-3739",
            "fax_number": "210-494-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 POND HILL RD",
            "address_2": "BUILDING 3",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311281",
            "telephone_number": "210-494-3739",
            "fax_number": "210-494-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES AND METABOLISM SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "210-494-3739",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavano Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.