Active NPI
Torin Walter Karsonovich, D.O.
- Neurological Surgery Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 125.068626
- Practice address
- 333 N Santa Rosa
San Antonio, TX 78207-3108 - Phone
- (210) 704-4100
- NPI assigned
- May 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 125.068626 | IL | Primary |
| Neurological Surgery Physician | 207T00000X | U9989 | TX |
Addresses
Primary practice location
333 N Santa Rosa
San Antonio, TX 78207-3108
Mailing address
1300 Franklin Ave
Ste 110
Normal, IL 61761-3799
Phone (724) 854-1193
Other practice location 1
1304 Franklin Ave
Normal, IL 61761-3558
Phone (724) 854-1193
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.068626 | IL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients |
Locations
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
Interoperability endpoints
- tkarsonovich503849@christushealth.direct-ci.net
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.
-
dba BCM Physicians of San Antonio
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1770931297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 FRANKLIN AVE",
"address_2": "STE 110",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613799",
"telephone_number": "724-854-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N SANTA ROSA",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073108",
"telephone_number": "210-704-4100"
}
],
"practiceLocations": [
{
"address_1": "1304 Franklin Ave",
"address_purpose": "LOCATION",
"city": "Normal",
"state": "IL",
"postal_code": "617613558",
"country_code": "US",
"telephone_number": "724-854-1193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARSONOVICH",
"first_name": "TORIN",
"middle_name": "WALTER",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-25",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "125.068626",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "U9989",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.