Individual provider Active NPI

Raul E Gaona Jr.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1649259920
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
TXK1444 Issued in TX
Practice address
414 Navarro St
Suite 1030
San Antonio, TX 78205-2516
Phone
(210) 225-1471
Fax
(210) 225-7623
NPI assigned
Jan 13, 2006
Last updated
Mar 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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 TXK1444 TX Primary

Addresses

Primary practice location

414 Navarro St
Suite 1030
San Antonio, TX 78205-2516

Mailing address

414 Navarro St
Suite 1030
San Antonio, TX 78205-2516
Phone (210) 225-1471

Other identifiers 1

IdentifierTypeStateIssuer
038271502MedicaidTX

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
I20100520000721 TX Practitioner - Internal Medicine 7719016286 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

124 Dallas St
San Antonio, TX 78205-1202
Phone (210) 224-1771

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

4103 N Loop 1604
San Antonio, TX 78249-1380
Phone (210) 541-8689

430 W Sunset Rd
San Antonio, TX 78209-1770

926 Brooklyn Ave
San Antonio, TX 78215-1637

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TXK1444TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Oct 30, 2019 Accepting new patients
BHS Physicians Network, Inc CurrentSince Oct 30, 2019 Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

414 Navarro St
Ste 1030
San Antonio, TX 78205
Phone (210) 225-1471

926 Brooklyn Ave
Ste 100
San Antonio, TX 78215
Phone (210) 229-9282

Interoperability endpoints

  • Direct secure messaging: raul.gaona.jr.1@1438.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Parklane West Healthcare CenterSan Antonio, TX, CCN 675509 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Feb 1, 2017
Feb 1, 2017
Feb 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 3

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1649259920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "SUITE 1030",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052516",
            "telephone_number": "210-225-1471",
            "fax_number": "210-225-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "SUITE 1030",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052516",
            "telephone_number": "210-225-1471",
            "fax_number": "210-225-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAONA",
        "first_name": "RAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "TXK1444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038271502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.