Individual provider Active NPI

Scott Jeremy Farber, M.D.

  • Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
National Provider Identifier
1649407370
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
R8558 Issued in TX
Practice address
4 Dominion Dr BLDG 1
San Antonio, TX 78257-1390
Phone
(210) 658-3555
Fax
(210) 362-1582
NPI assigned
Jun 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 287346 NY
Plastic and Reconstructive Surgery Physician 2086S0122X R8558 TX Primary

Addresses

Primary practice location

4 Dominion Dr BLDG 1
San Antonio, TX 78257-1390

Mailing address

17503 La Cantera Parkway
Suite 104 Box 184
San Antonio, TX 78257-9401
Phone (210) 658-3555

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
I20181011001943 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 2769610724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
State University of New York Downstate Medical Center, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Country Plastic SurgeryGroup PAC ID 7416360599, 2 clinicians

Practice addresses (Care Compare)

4 Dominion Dr
BLDG 1
San Antonio, TX 78257-1488
Phone (210) 658-3555

Hospital & facility affiliations

  • South Texas Spine and Surgical Hospital Hospital, San Antonio, TX, CCN 450856

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio CurrentSince Oct 1, 2018 Accepting new patients
Hill Country Plastic Surgery Plastic and Reconstructive Surgery CurrentSince Jan 1, 2021 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Oct 1, 2018 Accepting new patients

Locations

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

17503 La Cantera Pkwy
Ste 104184
San Antonio, TX 78257

4 Dominion Dr
Bldg 1
San Antonio, TX 78257
Phone (210) 658-3555

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

9150 Huebner Rd
Ste 162
San Antonio, TX 78240
Phone (210) 259-8155

Interoperability endpoints

  • Direct secure messaging: sfarber@hcps.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1649407370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PARKWAY",
            "address_2": "SUITE 104 BOX 184",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579401",
            "telephone_number": "210-658-3555",
            "fax_number": "210-362-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DOMINION DR BLDG 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571390",
            "telephone_number": "210-658-3555",
            "fax_number": "210-362-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARBER",
        "first_name": "SCOTT",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-20",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "287346",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "R8558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.