Individual provider Active NPI

Ralica Ninova Houston, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1699214577
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3011 W Loop 1604 N Ste 105
San Antonio, TX 78251-3901
Phone
(210) 681-0126
Fax
(210) 681-0138
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 Primary

Addresses

Primary practice location

3011 W Loop 1604 N Ste 105
San Antonio, TX 78251-3901

Mailing address

3011 W Loop 1604 N Ste 105
San Antonio, TX 78251-3901
Phone (210) 681-0126

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
I20180112000016 TX Practitioner - Physician Assistant 8224314653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

3011 W Loop 1604
San Antionio, TX 78251-3901
Phone (210) 681-6176

3011 W Loop 1604 N Access Rd
San Antonio, TX 78251-3901
Phone (866) 309-2873

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jan 29, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jan 29, 2018 Accepting new patients
BHS Specialty Network Inc PastSince Aug 18, 2024 Accepting new patients

Locations

3011 W Loop 1604 N
Ste 105
San Antonio, TX 78251
Phone (210) 681-0126

8711 Village Dr
Ste 114
San Antonio, TX 78217
Phone (210) 297-2244

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: ralica.ninova.1@1438.direct.athenahealth.com

Organizations & group practices 3

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": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1699214577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 W LOOP 1604 N STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513901",
            "telephone_number": "210-681-0126",
            "fax_number": "210-681-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W LOOP 1604 N STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513901",
            "telephone_number": "210-681-0126",
            "fax_number": "210-681-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "RALICA",
        "middle_name": "NINOVA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.