Individual provider Active NPI

Shadi M Tolaymat, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1720296437
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M0592 Issued in TX
Practice address
3303 Rogers Rd Ste 120
San Antonio, TX 78251-3688
Phone
(210) 614-5400
Fax
(210) 614-2413
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X M0592 TX Primary

Addresses

Primary practice location

3303 Rogers Rd Ste 120
San Antonio, TX 78251-3688

Mailing address

4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone (210) 614-5400

Other identifiers 3

IdentifierTypeStateIssuer
8GN244OtherTXBCBS
189288706MedicaidTX
555597YR99OtherTXMEDICARE

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
I20080102000441 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5698855724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Miami, LM Miller School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians

Practice addresses (Care Compare)

11212 State Hwy 151
San Antonio, TX 78251-4498
Phone (210) 703-8000

2827 Babcock Rd
San Antonio, TX 78229-4813
Phone (210) 705-6300

4411 Medical Dr
San Antonio, TX 78229-3824

5106 W Loop 1604
Methodist Hospital Westover Hills
San Antonio, TX 78251-4408
Phone (726) 243-2000

5126 W Loop 1604
San Antonio, TX 78251-4412

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

8026 Floyd Curl Dr
San Antonio, TX 78229-3915
Phone (210) 575-8110

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237
  • Ut Health San Antonio Multispecialty & Research Ho Hospital, San Antonio, TX, CCN 670335

Merit-based Incentive Payment System (MIPS)

Final score
87.32 of 100Reported as group
Quality
75.23
Promoting interoperability
99
Improvement activities
40
Cost
76.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0592TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince Aug 19, 2019 Accepting new patients
Cardiology Clinic of San Antonio, PLLC Cardiovascular Disease CurrentSince Mar 1, 2017 Accepting new patients
Legacy Heart Care of San Antonio Cardiovascular Disease CurrentSince Aug 19, 2019 Accepting new patients
San Antonio Cardiology Clinic PA Cardiovascular Disease Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

5126 W Loop 1604 N
Ste 307
San Antonio, TX 78251
Phone (210) 270-4210

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

3303 Rogers Rd
Ste 120
San Antonio, TX 78251
Phone (210) 520-5040

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

11212 State Highway 151
Ste 210
San Antonio, TX 78251
Phone (210) 949-0304

Interoperability endpoints

  • Direct secure messaging: 3210-tolaymat-shadi@direct.leadingreach.com
  • Direct secure messaging: shadi.tolaymat@hca7.eclinicaldirectplus.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.

Hospital & facility affiliations 6

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720296437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 MEDICAL DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293824",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 ROGERS RD STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513688",
            "telephone_number": "210-614-5400",
            "fax_number": "210-614-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLAYMAT",
        "first_name": "SHADI",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M0592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8GN244",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189288706",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "555597YR99",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.