Individual provider Active NPI

Ometeotl M Acosta, MD

  • Maternal & Fetal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1700066883
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
N9016 Issued in TX
Practice address
502 Madison Oak Dr Ste 210
San Antonio, TX 78258-4192
Phone
(210) 481-3000
NPI assigned
Nov 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X N9016 TX Primary

Addresses

Primary practice location

502 Madison Oak Dr Ste 210
San Antonio, TX 78258-4192

Mailing address

PO Box 2271
San Antonio, TX 78298-2271
Phone (210) 481-3000

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
I20110627000463 TX Practitioner - Obstetrics/Gynecology 4486832292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

502 Madison Oak Dr
Suite 210
San Antonio, TX 78258-4192
Phone (210) 481-3000

6800 I 10
Suite 100
San Antonio, TX 78201-2039
Phone (210) 575-8289

6800 W Ih
10 Suite 130
San Antonio, TX 78201-2039
Phone (210) 932-1487

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC Maternal & Fetal Medicine CurrentSince Sep 2, 2025 Accepting new patients
Perinatal & Infertility Specialists PA Maternal & Fetal Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

502 Madison Oak Dr
Ste 210
San Antonio, TX 78258
Phone (210) 481-3000

Interoperability endpoints

  • Direct secure messaging: ometeotl.acosta@hca7.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 2

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": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1700066883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2271",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782982271",
            "telephone_number": "210-481-3000",
            "fax_number": "210-481-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MADISON OAK DR STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584192",
            "telephone_number": "210-481-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "OMETEOTL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "N9016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.