Individual provider Active NPI

Talia Jayne Noorily

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1750843900
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
U5470 Issued in TX
Practice address
14855 Blanco Rd Ste 214
San Antonio, TX 78216-7729
Phone
(210) 493-1568
Fax
(210) 493-8345
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X U5470 TX Primary

Addresses

Primary practice location

14855 Blanco Rd Ste 214
San Antonio, TX 78216-7729

Mailing address

14855 Blanco Rd Ste 214
San Antonio, TX 78216-7729
Phone (210) 493-1568

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
I20231004002335 TX Practitioner - Dermatology 1951756352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivian W Bucay MD PLLCGroup PAC ID 3274504840, 3 clinicians

Practice addresses (Care Compare)

18707 Hardy Oak Blvd
Suite 101
San Antonio, TX 78258-4792
Phone (210) 370-9995

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions175
Skin biopsy78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U5470TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vivian W Bucay MD PLLC Dermatology CurrentSince Aug 1, 2023 Accepting new patients

Locations

18707 Hardy Oak Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 370-9995

326 W Craig Pl
San Antonio, TX 78212
Phone (210) 692-3000

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.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1750843900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD STE 214",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167729",
            "telephone_number": "210-493-1568",
            "fax_number": "210-493-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD STE 214",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167729",
            "telephone_number": "210-493-1568",
            "fax_number": "210-493-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORILY",
        "first_name": "TALIA",
        "middle_name": "JAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "U5470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.