Direct Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DIRECT MEDICAL PLLC

Doing business as

DIRECT MED CLINIC

Practice address

1010 NW Loop 410 Ste 100a
San Antonio, TX 78213-2220

Phone

(210) 886-8031

Fax

(210) 886-8059

NPI assigned

Jun 19, 2017

Organization subpart

No

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

Authorized official

Name

Roger Moczygemba, MD

Title

Owner

Phone

(210) 264-5500

Specialties & licenses 1

Addresses

Other names 2

• DIRECT MED CLINIC Doing business as
• MEDALLUS URGENT CARE Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1689104846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NW LOOP 410 STE 100A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132220",
            "telephone_number": "210-886-8031",
            "fax_number": "210-886-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NW LOOP 410 STE 100A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132220",
            "telephone_number": "210-886-8031",
            "fax_number": "210-886-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "MOCZYGEMBA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-264-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIRECT MED CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDALLUS URGENT CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Holmes Dinn IV, DO, MS
• Parvin Dinyarian, DDS PA
• Anibal Roberto Diogenes, DDS, PHD
• Weston Louis Dirba
• Daniel Joseph Dire, MD
• Direct Mobility Ambulance Service
• Direct Surgical Services, LLC
• Directive Therapy Solutions
• Janet Dirmeyer, LM, CPM
• Disability Services of the Southwest, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.