South Texas Healthcare Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M0453 Issued in TX

Legal business name

SOUTH TEXAS HEALTHCARE INC

Practice address

21902 Franklin Park Apt 1308
San Antonio, TX 78259-2193

Phone

(210) 491-1690

Fax

(210) 491-1801

NPI assigned

Jan 30, 2015

Last updated

Jul 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jibrail Kasperkhan, M.D.NPI 1245277300

Title

Owner

Phone

(210) 491-1690

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FHJJCA

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jibrail Kasperkhan, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1245277300
  Medicare reassignment Care Compare group NPD Authorized official
• Elena G. Pogosian, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1962687905
  Medicare reassignment Care Compare group NPD
• Jennifer Lauren Gonzales, AGNP-C

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1811496789
  Medicare reassignment NPD
• Daniela Mello, APRN

  • Adult Health Nurse Practitioner
  • New Braunfels, TX
  • NPI 1720835390
  Medicare reassignment NPD
• Kayla Renee Ross, FNP-C

  • Family Nurse Practitioner
  • Shavano Park, TX
  • NPI 1346923950
  Medicare reassignment NPD
• Christina L Russell, PA

  • Physician Assistant
  • San Antonio, TX
  • NPI 1962034694
  Medicare reassignment
• Arlene Vanessa Kasperkhan

  • Gerontology Nurse Practitioner
  • San Antonio, TX
  • NPI 1609574763
  NPD (past)

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1700276573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N LOOP 1604 W",
            "address_2": "SUITE 108-629",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782484503",
            "telephone_number": "210-682-0140",
            "fax_number": "210-682-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21902 FRANKLIN PARK APT 1308",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592193",
            "telephone_number": "210-491-1690",
            "fax_number": "210-491-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "KASPERKHAN",
        "authorized_official_first_name": "JIBRAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-491-1690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1245277300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Texas Foot Surgeons, P.a.
• South Texas Health & Wellness, LLC
• South Texas Health Alliance
• South Texas Health Alliance (Lone Star Neurosurgery)
• South Texas Health Alliance
• South Texas Heartbeat, P a
• South Texas Hospice LLC
• South Texas Injury & Rehabilitation Center
• South Texas Inpatient Consultants, PLLC
• South Texas Internal Medicine Associates, P.a.

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.