Organization Active NPI

Procare Internal Medicine Associates, PLLC

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1649445032
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PROCARE INTERNAL MEDICINE ASSOCIATES, PLLC
Practice address
10823 Town Center Dr
San Antonio, TX 78251-4585
Phone
(210) 509-7462
Fax
(210) 509-7464
NPI assigned
Apr 25, 2008
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Akhtar Hussain, MDNPI 1144327875
Title
President
Phone
(210) 509-7462

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

10823 Town Center Dr
San Antonio, TX 78251-4585

Mailing address

10823 Town Center Dr
San Antonio, TX 78251-4585
Phone (210) 509-7462

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081104000334 TX Part B Supplier - Clinic/Group Practice 7517026685 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

10515 State Highway 151
Ste 220
San Antonio, TX 78251
Phone (210) 509-7462

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1649445032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10823 TOWN CENTER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514585",
            "telephone_number": "210-509-7462",
            "fax_number": "210-509-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10823 TOWN CENTER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514585",
            "telephone_number": "210-509-7462",
            "fax_number": "210-509-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE INTERNAL MEDICINE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "AKHTAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-509-7462",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 10, 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.