Individual provider Active NPI

Rachel Kartanowicz, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1780616474
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2013-0081 Issued in NM
Practice address
14226 Emerald Hill Dr
San Antonio, TX 78231-1735
Phone
(256) 606-0059
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2013-0081 NM Primary
Medical Physician Assistant 363AM0700X PA2013-0081 NM

Addresses

Primary practice location

14226 Emerald Hill Dr
San Antonio, TX 78231-1735

Mailing address

2203 Via Esterlina Ave SE
Rio Rancho, NM 87124-8715
Phone (256) 606-0059

Other names 1

  • Rachel Ann Ptak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2013-0081NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama Emergency Physicians LLC Past Accepting new patients
Swea, P.C. Past Accepting new patients
Virginia Em-1 Medical Services, PC Past Accepting new patients

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1780616474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 VIA ESTERLINA AVE SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248715",
            "telephone_number": "256-606-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14226 EMERALD HILL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311735",
            "telephone_number": "256-606-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARTANOWICZ",
        "first_name": "RACHEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2013-0081",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2013-0081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "PTAK",
            "middle_name": "ANN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.