Active NPI
D Buyanov MD PLLC
- Interventional Pain Medicine Physician
- San Antonio, TX
National Provider Identifier
1689474249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- D BUYANOV MD PLLC
- Practice address
- 2425 Babcock Rd Ste 108
San Antonio, TX 78229-4899 - Phone
- (210) 298-9004
- Fax
- (210) 228-4030
- NPI assigned
- Mar 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dmitriy Buyanov, MD
- Title
- Owner
- Phone
- (210) 298-9004
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
2425 Babcock Rd Ste 108
San Antonio, TX 78229-4899
Mailing address
2425 Babcock Rd Ste 108
San Antonio, TX 78229-4899
Phone (210) 298-9004
Other practice location 1
1019 B St Ste C
Floresville, TX 78114-1967
Phone (210) 298-9004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250519002431 | TX | Part B Supplier - Clinic/Group Practice | 5799203212 |
Receives reassigned benefits from 1 practitioner Practice locations: San Antonio, TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1124047261
Interventional Pain Medicine, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743120000000",
"number": "1689474249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 BABCOCK RD STE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294899",
"telephone_number": "210-298-9004",
"fax_number": "210-228-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 BABCOCK RD STE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294899",
"telephone_number": "210-298-9004",
"fax_number": "210-228-4030"
}
],
"practiceLocations": [
{
"address_1": "1019 B St Ste C",
"address_purpose": "LOCATION",
"city": "Floresville",
"state": "TX",
"postal_code": "781141967",
"country_code": "US",
"telephone_number": "210-298-9004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "D BUYANOV MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A",
"authorized_official_last_name": "BUYANOV",
"authorized_official_first_name": "DMITRIY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-298-9004",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"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 Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.