NPIMap

Individual provider Active NPI

Gerardo A. Chica, M.D.

  • Nephrology Physician
  • San Antonio, TX
National Provider Identifier
1790760940
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L4883 Issued in TX
Practice address
2391 NE Loop 410 Ste 405
San Antonio, TX 78217-5675
Phone
(210) 654-7326
Fax
(210) 590-8232
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 31236 TX
Nephrology Physician 207RN0300X L4883 TX Primary

Addresses

Primary practice location

2391 NE Loop 410 Ste 405
San Antonio, TX 78217-5675

Mailing address

7142 San Pedro Ave
Suite 120
San Antonio, TX 78216-6256
Phone (210) 661-5622

Other identifiers 2

IdentifierTypeStateIssuer
P00098965OtherTXMEDICARE RAILROAD
154603802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614001426 TX Practitioner - NephrologyPractitioner - Internal Medicine 4183608649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7114 San Pedro Ave
San Antonio, TX 78216-6218
Phone (210) 342-2233

Hospital & facility affiliations

  • DaVita Marymont Dialysis Center Dialysis facility, San Antonio, TX, CCN 672523
  • DaVita Live Oak Dialysis Dialysis facility, Live Oak, TX, CCN 452570
  • DaVita Judson Dialysis Dialysis facility, San Antonio, TX, CCN 742553
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
67.88
Promoting interoperability
87
Improvement activities
40
Cost
78.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31236TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Nephrology CurrentSince Jan 1, 2004 Accepting new patients
Sakdc Surgical Center PLLC CurrentSince Oct 9, 2023 Accepting new patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Nephrology PastSince Aug 28, 2021 Accepting new patients

Locations

7142 San Pedro Ave
Ste 120
San Antonio, TX 78216
Phone (210) 481-7453

2391 NE Loop 410
Ste 405
San Antonio, TX 78217
Phone (210) 654-7326

8601 Village Dr
Ste 226
San Antonio, TX 78217
Phone (210) 224-1771

7114 San Pedro Ave
San Antonio, TX 78216
Phone (210) 342-2233

Interoperability endpoints

  • Direct secure messaging: gerardo.chica.p132@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: gerardo.chica.p56@direct.lifelinevascular.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gerardochica@sakdc.allscriptsdirect.net

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 8

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1790760940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7142 SAN PEDRO AVE",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166256",
            "telephone_number": "210-661-5622",
            "fax_number": "210-798-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 NE LOOP 410 STE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175675",
            "telephone_number": "210-654-7326",
            "fax_number": "210-590-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICA",
        "first_name": "GERARDO",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "31236",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L4883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00098965",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154603802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.