Individual provider Active NPI

Georgina Saravia, DO

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1659655298
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S7331 Issued in TX
Practice address
12446 West Ave Ste 200
San Antonio, TX 78216-2530
Phone
(210) 525-1668
Fax
(210) 525-1669
NPI assigned
Sep 30, 2011
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S7331 TX Primary
Hospitalist Physician 208M00000X 17792 NH

Addresses

Primary practice location

12446 West Ave Ste 200
San Antonio, TX 78216-2530

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252

Other practice location 1

789 Central Ave
Dover, NH 03820
Phone (603) 742-5252

Other identifiers 1

IdentifierTypeStateIssuer
3105756MedicaidNH

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
I20210714002824 TX Practitioner - Internal Medicine 1254565096 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S7331TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Medical Associates Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients

Locations

12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230

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.

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1659655298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-742-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12446 WEST AVE STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162530",
            "telephone_number": "210-525-1668",
            "fax_number": "210-525-1669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "03820",
            "country_code": "US",
            "telephone_number": "603-742-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARAVIA",
        "first_name": "GEORGINA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S7331",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "17792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3105756",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.