Individual provider Active NPI

Regina Marie Fearmonti, M.D.

  • Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1750488276
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
M4776 Issued in TX
Practice address
11503 NW Military Hwy
Ste 114
San Antonio, TX 78231-1884
Phone
(210) 343-1089
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X M4776 TX Primary

Addresses

Primary practice location

11503 NW Military Hwy
Ste 114
San Antonio, TX 78231-1884

Mailing address

11503 NW Military Hwy
Ste 114
San Antonio, TX 78231-1884
Phone (210) 343-1089

Other identifiers 2

IdentifierTypeStateIssuer
8W4570OtherTXBCBS
184580202MedicaidTX

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
I20070503000655 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 1658477815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11503 NW Military Hwy
Suite 114
San Antonio, TX 78231-1884

11503 NW Military Hwy 114
Alon Aesthetics Plastic Surgery
San Antonio, TX 78231-1884
Phone (210) 343-1089

Hospital & facility affiliations

  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4776TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regina M Fearmonti, MD, PA Plastic Surgery CurrentSince Nov 3, 2013 Accepting new patients

Locations

598 N Union Ave
Ste 200
New Braunfels, TX 78130
Phone (830) 625-6259

21 Spurs Ln
Ste 120
San Antonio, TX 78240
Phone (210) 616-0301

11503 NW Military Hwy
Ste 114
San Antonio, TX 78231
Phone (210) 343-1089

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12434/brand/1/csg/1/fhir/r4
  • Direct secure messaging: regina.fearmonti.1@12434.direct.athenahealth.com

Organizations & group practices 1

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 2

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1750488276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HWY",
            "address_2": "STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311884",
            "telephone_number": "210-343-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HWY",
            "address_2": "STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311884",
            "telephone_number": "210-343-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARMONTI",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "M4776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8W4570",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184580202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.