Individual provider Active NPI

Stephanie Gawlik

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1689122152
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10715 Issued in TX
Practice address
911 Historic Old Hwy 90
San Antonio, TX 78237-2637
Phone
(210) 644-8050
Fax
(210) 702-6975
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10715 TX Primary

Addresses

Primary practice location

911 Historic Old Hwy 90
San Antonio, TX 78237-2637

Mailing address

911 Historic Old Hwy 90 Ste 110
San Antonio, TX 78237-2637
Phone (210) 644-8050

Other practice location 1

2121 SW 36th St
San Antonio, TX 78237-3360
Phone (210) 358-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgawlik41330@uhssa.direct-ci.com Direct

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
I20161012000446 TX Practitioner - Physician Assistant 3577851211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
83.62
Promoting interoperability
100
Improvement activities
40
Cost
78.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10715TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Specialists CurrentSince Feb 7, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sgawlik41330@uhssa.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1689122152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 HISTORIC OLD HWY 90 STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782372637",
            "telephone_number": "210-644-8050",
            "fax_number": "210-702-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HISTORIC OLD HWY 90",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782372637",
            "telephone_number": "210-644-8050",
            "fax_number": "210-702-6975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 SW 36th St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782373360",
            "country_code": "US",
            "telephone_number": "210-358-5100",
            "fax_number": "210-358-5157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAWLIK",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgawlik41330@uhssa.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2121 Southwest 26th",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.