Individual provider Active NPI

Deowall Chattar-Cora, M.D.

  • Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
National Provider Identifier
1699733576
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
M3496 Issued in TX
Practice address
11212 State Highway 151
Medical Plaza II Ste 230
San Antonio, TX 78251-4498
Phone
(210) 265-1924
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M3496 TX
Surgery Physician 208600000X 226264-1 NY
Surgery Physician 208600000X M3496 TX
Surgery of the Hand (Surgery) Physician 2086S0105X M3496 TX
Plastic and Reconstructive Surgery Physician 2086S0122X M3496 TX Primary

Addresses

Primary practice location

11212 State Highway 151
Medical Plaza II Ste 230
San Antonio, TX 78251-4498

Mailing address

1931 Rogers Rd Ste 104
San Antonio, TX 78251-4853
Phone (210) 265-1924

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060725000349 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 0941213656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
New York University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1931 Rogers Rd
Suite 104
San Antonio, TX 78251-4853
Phone (210) 265-1924

Hospital & facility affiliations

  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226264-1NYMDSurgery Physician
M3496TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Bay General Hospital, Inc Emergency Medicine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
University Group Medical Associates, P.C Emergency Medicine Past Accepting new patients
Bellville Medical Center Surgery PastSince Aug 6, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dchattercora416096@christushealth.direct-ci.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1699733576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 ROGERS RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514853",
            "telephone_number": "210-265-1924",
            "fax_number": "210-265-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "address_2": "MEDICAL PLAZA II STE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498",
            "telephone_number": "210-265-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTAR-CORA",
        "first_name": "DEOWALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M3496",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "226264-1",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M3496",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "M3496",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "M3496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.