NPIMap

Organization Active NPI

Dr Rogers Medical Group PA.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1700928967
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3099 Issued in TX
Legal business name
DR ROGERS MEDICAL GROUP PA.
Practice address
2838 N Loop 1604 E
Ste 104
San Antonio, TX 78232-1711
Phone
(210) 495-2117
Fax
(888) 893-4363
NPI assigned
Feb 13, 2007
Last updated
Dec 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Tamyra Lee Rogers, M.D.NPI 1134108962
Title
Owner
Phone
(210) 495-2117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X L3099 TX Primary

Addresses

Primary practice location

2838 N Loop 1604 E
Ste 104
San Antonio, TX 78232-1711

Mailing address

2838 North Loop 1604
Suite 104
San Antonio, TX 78232-1702
Phone (210) 495-2117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013000274 TX Part B Supplier - Clinic/Group Practice 7315907565 Receives reassigned benefits from 12 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

24200 W Interstate 10
Ste 104
San Antonio, TX 78257

2815 N Loop 1604 E
Ste 105
San Antonio, TX 78232
Phone (210) 495-2117

5539 W Loop 1604 N
Ste 10
San Antonio, TX 78253
Phone (210) 403-9400

5539 W Loop 1604 N
Ste 104
San Antonio, TX 78253
Phone (210) 495-2117

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1700928967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 NORTH LOOP 1604",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321702",
            "telephone_number": "210-495-2117",
            "fax_number": "888-893-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 N LOOP 1604 E",
            "address_2": "STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321711",
            "telephone_number": "210-495-2117",
            "fax_number": "888-893-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROGERS MEDICAL GROUP PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TAMYRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-495-2117",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.