Jennifer Suzanne Retzloff, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K3636 Issued in TX

Practice address

1139 E Sonterra Blvd
Suite 405
San Antonio, TX 78258-4347

Phone

(210) 404-0000

Fax

(210) 404-2812

NPI assigned

Apr 10, 2007

Last updated

Dec 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.retzloff@546238333255684.direct.elationemr.com

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.

• Coe-Medical PLLC

  • Family Medicine Physician
  • Boerne, TX
  • NPI 1073907184
  Medicare reassignment NPD
• Health by Design Medical Group

  dba Health By Design

  • Primary Care Clinic/Center
  • San Antonio, TX
  • NPI 1487838611
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1649493511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD STE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584352",
            "telephone_number": "210-404-0000",
            "fax_number": "210-404-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E SONTERRA BLVD",
            "address_2": "SUITE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584347",
            "telephone_number": "210-404-0000",
            "fax_number": "210-404-2812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Pleasant Valley Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780065683",
            "country_code": "US",
            "telephone_number": "830-267-4575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3503 Paesanos Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782311225",
            "country_code": "US",
            "telephone_number": "210-492-8922",
            "fax_number": "210-479-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETZLOFF",
        "first_name": "JENNIFER",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046708604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01311293",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8DY757",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Retina Specialists of San Antonio, PLLC
• Retinal Consultants of San Antonio
• Jesse J. Rettele, L/CPO
• Shaylon Dwayne Rettig, M.D.
• Veronica Rettig, MSNA
• Matthew Gerard Retzloff, M.D.
• Aliese Marie Reus, PHARMD
• Madison Grace Reuther, COTA
• Kelly Reveles
• Ashlyn Rose Revere, MA

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.