Individual provider Active NPI

Miroslav Nesovic

  • Adult Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1740153790
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1001916 Issued in TX
Practice address
26081 Bulverde Rd
San Antonio, TX 78261-2311
Phone
(210) 742-6555
NPI assigned
Sep 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1001916 TX Primary

Addresses

Primary practice location

26081 Bulverde Rd
San Antonio, TX 78261-2311

Mailing address

1239 E Borgfeld Dr Apt 4306
San Antonio, TX 78260-1466
Phone (806) 646-0014

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030004692 TX Practitioner - Nurse Practitioner 1456840214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillside Primary Care PLLCGroup PAC ID 0648530386, 49 clinicians

Practice addresses (Care Compare)

12881 Toepperwein Rd
I35
Live Oak, TX 78233-4115
Phone (210) 742-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1001916TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Primary Care PLLC CurrentSince Sep 19, 2025 Accepting new patients
Complete Care Partners LLC Past Accepting new patients
Carefront Medical Group, PLLC Past Accepting new patients
Sandip Savaliya MD PA PastSince Jun 1, 2024 Accepting new patients
Heal Well Primary Care PC PastSince Mar 26, 2023 Accepting new patients

Locations

11671 Jollyville Rd
Ste 102
Austin, TX 78759
Phone (210) 463-4000

232 Brite Rd
Ste 117
Cibolo, TX 78108
Phone (210) 247-2248

840 E Redd Rd
Bldg 4
El Paso, TX 79912
Phone (915) 577-9003

1414 Sidney Baker St
Kerrville, TX 78028

2207 Clear Creek Rd
Ste 303
Killeen, TX 76549
Phone (254) 519-8921

2201 S W S Young Dr
Ste 111B
Killeen, TX 76543
Phone (254) 680-3376

12881 N Interstate 35
Live Oak, TX 78233
Phone (210) 742-6552

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

12410 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 659-4425

741 Generations Dr
Ste 215
New Braunfels, TX 78130

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

26081 Bulverde Rd
San Antonio, TX 78261

3710 Roosevelt Ave
San Antonio, TX 78214

5525 Blanco Rd
Ste 102
San Antonio, TX 78216
Phone (210) 464-6020

4926 Golden Quail
Ste 104
San Antonio, TX 78240
Phone (210) 876-1451

6430 Bandera Rd
Ste 98
San Antonio, TX 78238
Phone (210) 326-5454

9480 Huebner Rd
Ste 410
San Antonio, TX 78240
Phone (210) 463-4000

1923 Culebra Rd
San Antonio, TX 78201

519 N King St
Ste 101
Seguin, TX 78155
Phone (830) 272-0210

17766 Verde Pkwy
Ste 210
Selma, TX 78154

2009 Pat Booker Rd
Universal Cty, TX 78148
Phone (210) 659-4425

5253 Walzem Rd
Ste 2
Windcrest, TX 78218
Phone (210) 599-0456

Organizations & group practices 5

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": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1740153790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 E BORGFELD DR APT 4306",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782601466",
            "telephone_number": "806-646-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26081 BULVERDE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612311",
            "telephone_number": "210-742-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESOVIC",
        "first_name": "MIROSLAV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1001916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.