Organization Active NPI

Central Texas Allergy & Asthma, PA

  • Allergy & Immunology Physician
  • New Braunfels, TX
National Provider Identifier
1780705541
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
M2629 Issued in TX
Legal business name
CENTRAL TEXAS ALLERGY & ASTHMA, PA
Practice address
705 Landa St
Suite F
New Braunfels, TX 78130-6172
Phone
(830) 625-7612
Fax
(830) 627-9357
NPI assigned
Apr 2, 2007
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Priyanka Gupta, M.D.NPI 1346281839
Title
President-Medical Director
Phone
(830) 625-7612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X M2629 TX Primary

Addresses

Primary practice location

705 Landa St
Suite F
New Braunfels, TX 78130-6172

Mailing address

705 Landa St
Suite F
New Braunfels, TX 78130-6163
Phone (830) 625-7612

Other identifiers 1

IdentifierTypeStateIssuer
099025101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041216000900 TX Part B Supplier - Clinic/Group Practice 1052378494 Receives reassigned benefits from 1 practitioner
Practice locations: New Braunfels, TX; Schertz, TX

National Provider Directory

National Provider Directory

Locations

212 Hunters Vlg
Ste 105
New Braunfels, TX 78132
Phone (830) 609-0998

7711 Louis Pasteur Dr
#407
San Antonio, TX 78229
Phone (210) 614-4405

3746 Schertz Pkwy
Ste 200
Schertz, TX 78154
Phone (210) 654-0944

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1780705541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 LANDA ST",
            "address_2": "SUITE F",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306163",
            "telephone_number": "830-625-7612",
            "fax_number": "830-627-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 LANDA ST",
            "address_2": "SUITE F",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306172",
            "telephone_number": "830-625-7612",
            "fax_number": "830-627-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS ALLERGY & ASTHMA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "PRESIDENT-MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "830-625-7612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "M2629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099025101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.