Individual provider Active NPI

Gautam R Moorjani, MD

  • Rheumatology Physician
  • San Antonio, TX
National Provider Identifier
1780617282
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
N0997 Issued in TX
Practice address
19272 Stone Oak Parkway
Suite 101
San Antonio, TX 78258
Phone
(210) 265-8851
Fax
(210) 265-8855
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20040814 NM
Rheumatology Physician 207RR0500X N0997 TX Primary

Addresses

Primary practice location

19272 Stone Oak Parkway
Suite 101
San Antonio, TX 78258

Mailing address

19272 Stone Oak Parkway
Suite 101
San Antonio, TX 78258
Phone (210) 265-8851

Other identifiers 1

IdentifierTypeStateIssuer
57579733MedicaidNM

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
I20090121000173 TX Practitioner - RheumatologyPractitioner - Internal Medicine 0446293237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Associates of South Texas, PLLCGroup PAC ID 9931103447, 17 clinicians

Practice addresses (Care Compare)

19272 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-3372
Phone (210) 265-8851

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Merit-based Incentive Payment System (MIPS)

Final score
73.06 of 100Reported as group
Quality
83.27
Promoting interoperability
90
Improvement activities
40
Cost
35.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20040814NMMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates of South Texas, PLLC Rheumatology CurrentSince Jan 5, 2009 Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Roswell Hospital Corporation Hospitalist Past Accepting new patients

Locations

19272 Stone Oak Pkwy
Ste 101
San Antonio, TX 78258
Phone (210) 265-8851

Interoperability endpoints

  • Direct secure messaging: gautam.moorjani@rheumatologyassoci.ssdirect.aprima.com

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1780617282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19272 STONE OAK PARKWAY",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-265-8851",
            "fax_number": "210-265-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19272 STONE OAK PARKWAY",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-265-8851",
            "fax_number": "210-265-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORJANI",
        "first_name": "GAUTAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NM",
            "license": "20040814",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "N0997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57579733",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.