Reem Razeq, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12334 Issued in TX

Practice address

3503 Paesanos Pkwy Ste 201
Shavano Park, TX 78231-1225

Phone

(210) 504-3650

Fax

(210) 519-3045

NPI assigned

Jan 13, 2019

Last updated

Apr 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adam Bruggeman MD PLLCGroup PAC ID 4688987266, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legent Orthopedic + Spine Hospital, San Antonio, TX, CCN 670112

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: frankkkuwamuraiiimd.reemrazeq@130038.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adam Bruggeman MD PLLC

  • Orthopaedic Surgery of the Spine Physician
  • San Antonio, TX
  • NPI 1104231349

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Adam Bruggeman MD PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Bulverde, TX
  • NPI 1912372699
  NPD

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

• Cumberland Surgical Hospital of San Antonio LLC

  dba Legent Orthopedic & Spine

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1568848059
  Care Compare affiliation

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

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1770057739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 PAESANOS PKWY STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311225",
            "telephone_number": "210-589-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 PAESANOS PKWY STE 201",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311225",
            "telephone_number": "210-504-3650",
            "fax_number": "210-519-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZEQ",
        "first_name": "REEM",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-13",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Other Side of Treatment, PLLC
• Stacy Phillippe Rauch, CPC
• Delbert E Rainosek, MD
• Peter E Ramirez, MD
• Ashley Rangel
• Reddy Dental Dba PA (The Tooth Doctor)
• Nukala H. Reddy, D.D.S.
• Rehab Associates
• Theresa Reiff Garcia
• Fernando Reyes San Martin

• Physician Assistant in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.