Organization Active NPI

Ty H Goletz M.D. PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Antonio, TX
National Provider Identifier
1780897306
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
TY H GOLETZ M.D. PA
Practice address
18626 Hardy Oak Blvd Ste 300
San Antonio, TX 78258-4228
Phone
(210) 692-7400
Fax
(210) 692-0090
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Dr. Ty Henry Goletz, M.D.
Title
Physician
Phone
(210) 692-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

18626 Hardy Oak Blvd Ste 300
San Antonio, TX 78258-4228

Mailing address

18626 Hardy Oak Blvd Ste 300
San Antonio, TX 78258-4228
Phone (210) 692-7400

Other identifiers 3

IdentifierTypeStateIssuer
1427102821OtherTXNPI DR GORDON
1750387080OtherTXNPI DR PONTIUS
1760476188OtherTXNPI DR GOLETZ

Other names 1

  • Center For Orthoopaedic Surgery & Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080211000871 TX Part B Supplier - Clinic/Group Practice 6608959895 Receives reassigned benefits from 5 practitioners
Practice locations: San Antonio, TX
O20100930004966 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6608959895 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

6800 W Interstate 10
Ste 250
San Antonio, TX 78201
Phone (210) 692-7400

6800 W Ih 10
San Antonio, TX 78201

7940 Floyd Curl Dr
Ste 560
San Antonio, TX 78229
Phone (210) 614-8100

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1780897306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584228",
            "telephone_number": "210-692-7400",
            "fax_number": "210-692-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584228",
            "telephone_number": "210-692-7400",
            "fax_number": "210-692-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TY H GOLETZ M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "GOLETZ",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-692-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR GORDON",
            "identifier": "1427102821",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR PONTIUS",
            "identifier": "1750387080",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR GOLETZ",
            "identifier": "1760476188",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Orthoopaedic Surgery & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center For Orthoopaedic Surgery & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 25, 2025; 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.