Individual provider Active NPI

Steven G. Rosenblatt, M.D.

  • Nephrology Physician
  • San Antonio, TX
National Provider Identifier
1710962279
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E5222 Issued in TX
Practice address
4511 NW Loop 410 Ste 104
San Antonio, TX 78229-5124
Phone
(210) 614-7900
Fax
(210) 615-1211
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X E5222 TX Primary

Addresses

Primary practice location

4511 NW Loop 410 Ste 104
San Antonio, TX 78229-5124

Mailing address

PO Box 504152
Saint Louis, MO 63150-4152
Phone (210) 212-8622

Other practice location 1

205 22nd St
Hondo, TX 78861-2520
Phone (210) 614-7900

Other identifiers 1

IdentifierTypeStateIssuer
114333102MedicaidTX

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
I20100104000616 TX Practitioner - NephrologyPractitioner - Internal Medicine 7416865316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
JS Weill Medical College, Cornell University, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Reza Mizani MD PAGroup PAC ID 5294709689, 28 clinicians

Practice addresses (Care Compare)

205 22ND St
Hondo, TX 78861-2520
Phone (210) 614-7900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M. Reza Mizani, M.D., P.a. CurrentSince Jul 26, 2016 Accepting new patients
M. Reza Mizani, M.D., P.a. Nephrology CurrentSince Jul 26, 2016 Accepting new patients
M. Reza Mizani, M.D., P.a. Nephrology Past Accepting new patients

Locations

205 22nd St
Hondo, TX 78861
Phone (830) 426-2753

343 W Houston St
Ste 609
San Antonio, TX 78205
Phone (210) 212-4595

4511 NW Loop 410
Ste 104
San Antonio, TX 78229

8115 Datapoint Dr
Ste 200
San Antonio, TX 78229

Interoperability endpoints

  • Direct secure messaging: stevenrosenblatt@sakdc.allscriptsdirect.net
  • Direct secure messaging: steven.rosenblatt@strcg.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1710962279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504152",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504152",
            "telephone_number": "210-212-8622",
            "fax_number": "210-212-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 NW LOOP 410 STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295124",
            "telephone_number": "210-614-7900",
            "fax_number": "210-615-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 22nd St",
            "address_purpose": "LOCATION",
            "city": "Hondo",
            "state": "TX",
            "postal_code": "788612520",
            "country_code": "US",
            "telephone_number": "210-614-7900",
            "fax_number": "210-615-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "STEVEN",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "E5222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114333102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.