Organization Active NPI

Jeremias M. Abueme,MD,PA

  • Addiction Medicine (Internal Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1639450182
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
J7401 Issued in TX
Legal business name
JEREMIAS M. ABUEME,MD,PA
Practice address
5282 Medical Dr Ste 130
San Antonio, TX 78229-6023
Phone
(210) 615-8434
Fax
(210) 615-8436
NPI assigned
Aug 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Mrs. Lilia P Abueme
Title
Manager
Phone
(210) 615-8434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0401X J7401 TX Primary

Addresses

Primary practice location

5282 Medical Dr Ste 130
San Antonio, TX 78229-6023

Mailing address

5282 Medical Dr Ste 130
San Antonio, TX 78229-6023
Phone (210) 615-8434

Other identifiers 1

IdentifierTypeStateIssuer
113229203MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110906000531 TX Part B Supplier - Clinic/Group Practice 2567632375 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1031807Jeremias M Abueme MD5282 Medical Drive Suite 130, San Antonio, TX 78229Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory

Locations

5282 Medical Dr
Ste 130
San Antonio, TX 78229
Phone (210) 615-8366

Practitioners & affiliated clinicians

Practitioners 1

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": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1639450182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296023",
            "telephone_number": "210-615-8434",
            "fax_number": "210-615-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR STE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296023",
            "telephone_number": "210-615-8434",
            "fax_number": "210-615-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAS M. ABUEME,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "ABUEME",
        "authorized_official_first_name": "LILIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-615-8434",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TX",
            "license": "J7401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113229203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.