NPIMap

Organization Active NPI

Oncology San Antonio

  • Hematology & Oncology Physician
  • San Antonio, TX
National Provider Identifier
1790180370
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ONCOLOGY SAN ANTONIO
Practice address
202 Baltimore
San Antonio, TX 78215-1907
Phone
(210) 299-8000
NPI assigned
Oct 25, 2014
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Jayasree RaoNPI 1285662510
Title
Partner
Phone
(210) 782-9528

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
Hematology & Oncology Physician 207RH0003X TX Primary

Addresses

Primary practice location

202 Baltimore
San Antonio, TX 78215-1907

Mailing address

P.O. Box 65057
San Antonio, TX 78265-5057
Phone (210) 616-9922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150206000227 TX Part B Supplier - Clinic/Group Practice 7315262730 Receives reassigned benefits from 18 practitioners
Practice locations: San Antonio, TX; Live Oak, TX; Eagle Pass, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2304694Oncology San Antonio - DT202 Baltimore Ave, San Antonio, TX 78215Certificate of waiverMay 15, 2028

National Provider Directory

National Provider Directory

Locations

731 N Walnut Ave
#101
New Braunfels, TX 78130
Phone (210) 599-0922

19288 Stone Oak Pkwy
#B
San Antonio, TX 78258
Phone (210) 490-2707

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1790180370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 65057",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782655057",
            "telephone_number": "210-616-9922",
            "fax_number": "210-877-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BALTIMORE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151907",
            "telephone_number": "210-299-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOLOGY SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-25",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "JAYASREE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "210-782-9528"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": null,
            "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 May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.