Individual provider Active NPI

Xavier Ramon Cortada, M.D.

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1699852665
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H3666 Issued in TX
Practice address
13750 San Pedro Ave
Suite 850
San Antonio, TX 78232-4375
Phone
(210) 490-3434
Fax
(210) 489-4977
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X H3666 TX Primary

Addresses

Primary practice location

13750 San Pedro Ave
Suite 850
San Antonio, TX 78232-4375

Mailing address

13750 San Pedro Ave
Suite 850
San Antonio, TX 78232-4375
Phone (210) 490-3434

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
I20170411001180 TX Practitioner - Pediatric Medicine 6002114675 Practice locations: San Antonio, TX

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1699852665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 SAN PEDRO AVE",
            "address_2": "SUITE 850",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324375",
            "telephone_number": "210-490-3434",
            "fax_number": "210-489-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 SAN PEDRO AVE",
            "address_2": "SUITE 850",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324375",
            "telephone_number": "210-490-3434",
            "fax_number": "210-489-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTADA",
        "first_name": "XAVIER",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H3666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.