Active NPI
Jack Harrison Aulbach, CAA
- Anesthesiologist Assistant
- San Antonio, TX
National Provider Identifier
1659200939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 789790920
- Practice address
- 400 Concord Plaza Dr Ste 200
San Antonio, TX 78216-6990 - Phone
- (210) 804-5416
- NPI assigned
- May 14, 2026
- Last updated
- Jul 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA1209 | FL | |
| Anesthesiologist Assistant | 367H00000X | 789790920 | Primary |
Addresses
Primary practice location
400 Concord Plaza Dr Ste 200
San Antonio, TX 78216-6990
Mailing address
108 Pheasant Run Dr
Slippery Rock, PA 16057-4140
Phone (724) 495-9686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19138 US Hwy 281 N
San Antonio, TX 78258-4988
Phone (210) 804-5400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
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- San Antonio, TX
- NPI 1720022494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1659200939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 PHEASANT RUN DR",
"city": "SLIPPERY ROCK",
"state": "PA",
"postal_code": "160574140",
"telephone_number": "724-495-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CONCORD PLAZA DR STE 200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782166990",
"telephone_number": "210-804-5416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULBACH",
"first_name": "JACK",
"middle_name": "HARRISON",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-14",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA1209",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": "789790920",
"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 Jul 15, 2026; 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.