Individual provider Active NPI

Ronald Wayne Connor, M.D.

  • Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1811939820
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J4057 Issued in TX
Practice address
150 E Sonterra Blvd Ste 300
San Antonio, TX 78258-4184
Phone
(210) 396-5300
Fax
(210) 804-5444
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X J4057 TX Primary

Addresses

Primary practice location

150 E Sonterra Blvd Ste 300
San Antonio, TX 78258-4184

Mailing address

400 Concord Plaza Dr
300
San Antonio, TX 78216-6905
Phone (210) 396-5300

Other identifiers 5

IdentifierTypeStateIssuer
122233306MedicaidTX
5082488OtherTXAETNA
200042346OtherTXRAILROAD MEDICARE
8B8392OtherTXBCBS
4123547OtherTXCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

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
I20100318000701 TX Practitioner - Orthopedic Surgery 2062547870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.68 of 100Reported as individual
Quality
69.23
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The San Antonio Orthopaedic Group, LLP Orthopaedic Surgery CurrentSince Sep 1, 2001 Accepting new patients
The San Antonio Orthopaedic Group, LLP Orthopaedic Surgery CurrentSince Sep 1, 2001 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

150 E Sonterra Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 489-7220

19138 US Highway 281 N
Ste 100
San Antonio, TX 78258
Phone (210) 593-1435

Interoperability endpoints

  • Direct secure messaging: ronald.w.connor.1@94.direct.athenahealth.com
  • Direct secure messaging: ronald.connor.1@3199.direct.athenahealth.com

Organizations & group practices 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1811939820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR",
            "address_2": "300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166905",
            "telephone_number": "210-396-5300",
            "fax_number": "210-804-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SONTERRA BLVD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584184",
            "telephone_number": "210-396-5300",
            "fax_number": "210-804-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "RONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J4057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122233306",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5082488",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200042346",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B8392",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4123547",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.