Active NPI
Jordan Ta, DO
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- V9147
- Practice address
- 11130 Christus Hills
Medical Plaza 3, 3Rd FL
San Antonio, TX 78251 - Phone
- (210) 703-9001
- Fax
- (210) 703-9155
- NPI assigned
- May 4, 2022
- Last updated
- Jun 13, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10080367 | TX | |
| Family Medicine Physician | 207Q00000X | V9147 | TX | Primary |
Addresses
Primary practice location
11130 Christus Hills
Medical Plaza 3, 3Rd FL
San Antonio, TX 78251
Mailing address
11130 Christus Hills
Medical Plaza 3, 3Rd FL
San Antonio, TX 78251
Phone (210) 703-9001
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Record Crossing Rd
Dallas, TX 75235-6223
Phone (954) 939-5000
2301 Marsh LN
Plano, TX 75093-8497
Phone (954) 939-5000
609 Medical Ctr Dr
Decatur, TX 76234-3836
Phone (940) 627-5921
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V9147 | TX | MD | Family Medicine Physician |
| BP10080367 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Questcare Hospitalists PLLC | Current | Accepting new patients | |
| Columbia Medical Center of Denton Subsidiary LP | Past | Accepting new patients |
Locations
2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571
1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500
2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1265441620
-
dba Medical City Denton
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Denton
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1780329607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11130 CHRISTUS HILLS",
"address_2": "MEDICAL PLAZA 3, 3RD FL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78251",
"telephone_number": "210-703-9001",
"fax_number": "210-703-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11130 CHRISTUS HILLS",
"address_2": "MEDICAL PLAZA 3, 3RD FL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78251",
"telephone_number": "210-703-9001",
"fax_number": "210-703-9155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TA",
"first_name": "JORDAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-04",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10080367",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "V9147",
"primary": true
}
],
"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 Jun 13, 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.