Individual provider Active NPI

Hector A Oyarzabal, MD PA

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1790874089
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J0623 Issued in TX
Practice address
1911 Pleasanton Rd
San Antonio, TX 78221-1210
Phone
(210) 924-7331
Fax
(210) 932-3621
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J0623 TX Primary

Addresses

Primary practice location

1911 Pleasanton Rd
San Antonio, TX 78221-1210

Mailing address

1911 Pleasanton Rd
San Antonio, TX 78221-1210
Phone (210) 924-7331

Other identifiers 2

IdentifierTypeStateIssuer
080476701MedicaidTX
89Z490OtherTXBLUECROSS & BLUE SHIELD

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
I20110531000358 TX Practitioner - Internal MedicinePractitioner - Family Practice 9234316241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athens Family Medicine LLCGroup PAC ID 8729345681, 14 clinicians

Practice addresses (Care Compare)

2829 Babcock Rd
Suite 117
San Antonio, TX 78229-6009
Phone (210) 341-9614

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Family Medicine LLC CurrentSince Mar 2, 2024 Accepting new patients

Locations

2829 Babcock Rd
Ste 117
San Antonio, TX 78229
Phone (210) 460-9672

10423 State Highway 151
Ste 101
San Antonio, TX 78251
Phone 21034196149

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

Interoperability endpoints

  • Direct secure messaging: hector.oyarzabal.1@32578.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1790874089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 PLEASANTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211210",
            "telephone_number": "210-924-7331",
            "fax_number": "210-932-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 PLEASANTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211210",
            "telephone_number": "210-924-7331",
            "fax_number": "210-932-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYARZABAL",
        "first_name": "HECTOR",
        "middle_name": "A",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J0623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080476701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS & BLUE SHIELD",
            "identifier": "89Z490",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.