Rebecca Elizabeth Fidellow, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

L1572 Issued in TX

Practice address

4415 Centerview
San Antonio, TX 78228-1403

Phone

(210) 363-5889

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Health and Human Services Commission

  dba Rio Grande State Center

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment NPD
• University of Texas Health Science Center at San Antonio

  dba UT Health Physicians

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717
  Medicare reassignment NPD
• Health and Human Services Commission

  dba Kerrville State Hospital

  • Clinical Psychologist
  • Kerrville, TX
  • NPI 1588671481
  NPD
• Health and Human Services Commission

  dba Big Spring State Hospital

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD
• The University of Texas Health Science Center at San Antonio

  dba UT Health San Antonio Multispecialty & Research Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  NPD
• Compassus Op of Texas LLC

  dba Compassus - San Antonio

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1215487475

  Adult Medicine

  NPD (past)
• Eva J Lopez MD PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1619113883
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700810983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 BABCOCK RD",
            "address_2": "#360",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402134",
            "telephone_number": "210-363-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 CENTERVIEW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281403",
            "telephone_number": "210-363-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDELLOW",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "L1572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fidel G. Huerta Jr., Inc. (Health Professionals)
• Fidel G. Huerta Jr., Inc. (Health Professionals)
• Fidel G. Huerta Jr., Inc. (Health Professionals)
• Fidel G. Huerta Jr., Inc. (Health Professionals)
• Fidelity Home Care Agency
• Fiduchie Health, LLC
• Kristin Fiebelkorn, MD
• Kyle Andrew Fiebig
• Stephen Boyd Fiebrich, MD
• Field Diagnostics, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.