Individual provider Active NPI

Jurairat J Molina, MD

  • Allergy & Immunology Physician
  • San Antonio, TX
National Provider Identifier
1700829918
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
L2478 Issued in TX
Practice address
525 Oak Centre Dr Ste 110
San Antonio, TX 78258-3935
Phone
(210) 494-0690
Fax
(210) 494-0920
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X L2478 TX Primary

Addresses

Primary practice location

525 Oak Centre Dr Ste 110
San Antonio, TX 78258-3935

Mailing address

303 E Main St
Round Rock, TX 78664-5246
Phone (512) 732-2774

Other practice location 1

1320 Wonder World Dr Ste 105
San Marcos, TX 78666-7558
Phone (210) 494-0690

Other practice location 2

5402 S Staples St Ste 205
Corpus Christi, TX 78411
Phone (361) 882-3487

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
I20170627001752 TX Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 1254340052 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Tulane University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stone Oak Allergy PAGroup PAC ID 9638314529, 3 clinicians
Corpus Christi Allergy AssociatesGroup PAC ID 1951546837, 2 clinicians

Practice addresses (Care Compare)

525 Oak Centre Dr
Suite 110
San Antonio, TX 78258-3935
Phone (210) 494-0690

5402 S Staples St
Suite 205
Corpus Christi, TX 78411-4656
Phone (361) 882-3487

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Oak Allergy PA Allergy & Immunology CurrentSince Oct 11, 2021 Accepting new patients
Corpus Christi Allergy Associates Allergy & Immunology CurrentSince Apr 1, 2018 Accepting new patients
Greater Austin Allergy, Asthma & Immunology PA Allergy & Immunology CurrentSince Apr 1, 2021 Accepting new patients

Locations

11762 Jollyville Rd
Austin, TX 78759
Phone (512) 258-2300

3101 Highway 71 E
Ste 210
Bastrop, TX 78602
Phone (512) 445-5998

12801 Shops Pkwy
Ste 400
Bee Caves, TX 78738
Phone (512) 222-5856

5402 S Staples St
Ste 205
Corpus Christi, TX 78411
Phone (361) 882-3487

303 E Main St
Round Rock, TX 78664

525 Oak Centre Dr
Ste 110
San Antonio, TX 78258
Phone (210) 494-0690

1320 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (210) 494-0690

601A Leah Ave
San Marcos, TX 78666
Phone (210) 497-3972

Interoperability endpoints

  • Direct secure messaging: corpuschristiallergyassociates.jurairatmolina@123590.advancedmd-direct.com

Organizations & group practices 4

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1700829918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645246",
            "telephone_number": "512-732-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583935",
            "telephone_number": "210-494-0690",
            "fax_number": "210-494-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Wonder World Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667558",
            "country_code": "US",
            "telephone_number": "210-494-0690",
            "fax_number": "210-494-0920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5402 S Staples St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "78411",
            "country_code": "US",
            "telephone_number": "361-882-3487",
            "fax_number": "361-882-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "JURAIRAT",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "L2478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.