Individual provider Active NPI

Felipe Ben De Los Santos, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1659803419
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133707 Issued in TX
Practice address
507 Pleasanton Rd
Suite 101
San Antonio, TX 78214-1335
Phone
(210) 433-3334
NPI assigned
Mar 31, 2017
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP133707 TX
Family Nurse Practitioner 363LF0000X AP133707 TX Primary
Registered Nurse 163W00000X AP133707 TX

Addresses

Primary practice location

507 Pleasanton Rd
Suite 101
San Antonio, TX 78214-1335

Mailing address

507 Pleasanton Rd
Suite 101
San Antonio, TX 78214-1335
Phone (210) 433-3334

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-2078

Other identifiers 2

IdentifierTypeStateIssuer
380960006MedicaidTX
380960007OtherTXCSHCN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180612000067 TX Practitioner - Nurse Practitioner 9133474323 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ty H Goletz M.D. PAGroup PAC ID 6608959895, 4 clinicians
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

18626 Hardy Oak Blvd
Suite 300
San Antonio, TX 78258-4228
Phone (210) 692-7400

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

6530 W Loop 1604
San Antonio, TX 78254-6319
Phone (210) 476-5577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Jan 11, 2023 Accepting new patients
TMC Provider Group PLLC CurrentSince Jan 11, 2023 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
Floresville Urgent Care Clinic CurrentSince Aug 1, 2021 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Apr 1, 2020 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Apr 1, 2020 Accepting new patients
Ty H Goletz M.D. PA CurrentSince Dec 14, 2025 Accepting new patients
The Emergency Clinic of Floresville, LLC Past Accepting new patients
Tri County Family Medical Care Group LLC Past Accepting new patients
Lucina B Trevino M.D. Past Accepting new patients
Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc PastSince May 1, 2018 Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

559 10th St
Ste 1
Floresville, TX 78114
Phone (830) 216-9650

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

18626 Hardy Oak Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 293-2922

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

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

Organizations & group practices 11

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1659803419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 PLEASANTON RD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141335",
            "telephone_number": "210-433-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 PLEASANTON RD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141335",
            "telephone_number": "210-433-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-2078",
            "fax_number": "210-358-1972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "FELIPE",
        "middle_name": "BEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133707",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133707",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "AP133707",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380960006",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "380960007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.