Individual provider Active NPI

Lyssa N Ochoa, MD

  • Vascular Surgery Physician
  • San Antonio, TX
National Provider Identifier
1699900480
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
N2693 Issued in TX
Practice address
603 E Amber St Ste 101
San Antonio, TX 78221-2456
Phone
(210) 610-7283
Fax
(210) 812-5938
NPI assigned
May 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X N2693 TX
Vascular Surgery Physician 2086S0129X N2693 TX Primary

Addresses

Primary practice location

603 E Amber St Ste 101
San Antonio, TX 78221-2456

Mailing address

603 E Amber St Ste 101
San Antonio, TX 78221-2456
Phone (210) 610-7283

Other practice location 1

111 Dallas St
Ste 200-A
San Antonio, TX 78205-1201
Phone (210) 225-6508

Other practice location 2

610 N Main Avenue
San Antonio, TX 78205-2014
Phone (210) 225-6508

Other practice location 3

4025 E Southcross Blvd Ste 15
San Antonio, TX 78222-3641
Phone (210) 610-7283

Other identifiers 2

IdentifierTypeStateIssuer
281711603MedicaidTX
281711601MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thesaveclinic@direct-address.net Direct San Antonio Vascular and Endovascular Clinic PLLC

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
I20110520000482 TX Practitioner - Vascular SurgeryPractitioner - General Practice 7315123668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Practice
Education
Baylor College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Antonio Vascular and Endovascular Clinic PLLCGroup PAC ID 7911263744, 7 clinicians

Practice addresses (Care Compare)

603 E Amber St
Suite 101
San Antonio, TX 78221-2456
Phone (210) 610-7283

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Connally Memorial Medical Center Hospital, Floresville, TX, CCN 450108

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)80

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N2693TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Vascular and Endovascular Clinic PLLC Vascular Surgery CurrentSince Nov 1, 2017 Accepting new patients
South Texas Spinal Clinic, P.a. Past Accepting new patients
Varicose Vein Clinic - Northwest, P.a. Vascular Surgery Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Mission Surgery Center LLC Past Accepting new patients

Locations

260 US Highway 181 N
Ste 102
Floresville, TX 78114

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

1701 E State Highway 97
Jourdanton, TX 78026
Phone (210) 257-6151

205 N Oak St
Pearsall, TX 78061
Phone (830) 334-4142

1102 N Main St
Ste 2618
Pleasanton, TX 78064

7127 Somerset Rd
Ste 102
San Antonio, TX 78211

111 Dallas St
Ste 200A
San Antonio, TX 78205

603 E Amber St
Ste 101
San Antonio, TX 78221
Phone (210) 660-5040

919 Locke St
San Antonio, TX 78208
Phone (210) 644-8700

7616 Culebra Rd
Ste 130
San Antonio, TX 78251
Phone (210) 509-2603

4025 E Southcross Blvd
Ste 15
San Antonio, TX 78222
Phone (832) 439-7889

3860 E Interstate Highway 10
San Antonio, TX 78220
Phone (210) 644-5000

590 N General McMullen Dr
San Antonio, TX 78228
Phone (210) 434-1054

7616 Culebra Rd
San Antonio, TX 78251
Phone (210) 423-3031

Interoperability endpoints

  • Direct secure messaging: thesaveclinic@direct-address.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 2

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": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1699900480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E AMBER ST STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782212456",
            "telephone_number": "210-610-7283",
            "fax_number": "210-812-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E AMBER ST STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782212456",
            "telephone_number": "210-610-7283",
            "fax_number": "210-812-5938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Dallas St",
            "address_2": "Ste 200-A",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782051201",
            "country_code": "US",
            "telephone_number": "210-225-6508",
            "fax_number": "210-225-1486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 N MAIN AVENUE",
            "address_purpose": "LOCATION",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052014",
            "country_code": "US",
            "telephone_number": "210-225-6508",
            "fax_number": "210-225-1486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 E Southcross Blvd Ste 15",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782223641",
            "country_code": "US",
            "telephone_number": "210-610-7283",
            "fax_number": "210-812-5938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCHOA",
        "first_name": "LYSSA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N2693",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "N2693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281711603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281711601",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thesaveclinic@direct-address.net",
            "affiliation": "Y",
            "affiliationName": "San Antonio Vascular and Endovascular Clinic PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "603 E Amber St Ste 101",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782212456",
            "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.