Individual provider Active NPI

Roger Ernesto Bidondo Gil, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1700271988
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R9471 Issued in TX
Practice address
2455 NE Loop 410 Ste 100
San Antonio, TX 78217-5650
Phone
(210) 599-6000
Fax
(210) 599-7519
NPI assigned
Apr 3, 2015
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 294827 NY
Internal Medicine Physician 207R00000X R9471 TX Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X R9471 TX

Addresses

Primary practice location

2455 NE Loop 410 Ste 100
San Antonio, TX 78217-5650

Mailing address

2455 NE Loop 410 Ste 100
San Antonio, TX 78217-5650
Phone (210) 599-6000

Other practice location 1

357 Broadway
Amityville, NY 11701-2748
Phone (631) 789-7900

Other practice location 2

232 Merrick Rd
Lynbrook, NY 11563-2623
Phone (516) 594-5961

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
I20181227000818 TX Practitioner - Internal Medicine 5991053944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

2455 NE Loop 410
100 Wellmed at Greenway Park
San Antonio, TX 78217-5650
Phone (210) 599-6000

7031 Marbach Rd
San Antonio, TX 78227-1911
Phone (210) 201-8148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294827NYMDInternal Medicine Physician
R9471TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA Single Specialty CurrentSince Sep 9, 2024 Accepting new patients

Locations

2455 NE Loop 410
Ste 100
San Antonio, TX 78217
Phone (210) 599-6000

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: roger.bidondogil@wellmed.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1700271988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 NE LOOP 410 STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175650",
            "telephone_number": "210-599-6000",
            "fax_number": "210-599-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 NE LOOP 410 STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175650",
            "telephone_number": "210-599-6000",
            "fax_number": "210-599-7519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "357 Broadway",
            "address_purpose": "LOCATION",
            "city": "Amityville",
            "state": "NY",
            "postal_code": "117012748",
            "country_code": "US",
            "telephone_number": "631-789-7900",
            "fax_number": "631-608-8492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 Merrick Rd",
            "address_purpose": "LOCATION",
            "city": "Lynbrook",
            "state": "NY",
            "postal_code": "115632623",
            "country_code": "US",
            "telephone_number": "516-594-5961",
            "fax_number": "516-256-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIDONDO GIL",
        "first_name": "ROGER",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "294827",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R9471",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "R9471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.