Organization Active NPI

Christus Santa Rosa Health Care Corporation

Doing business as Childrens Hospital of San Antonio

  • Children's Hospital
  • San Antonio, TX
National Provider Identifier
1821004151
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
000339 Issued in TX
Legal business name
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Doing business as
Childrens Hospital of San Antonio
Practice address
333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone
(210) 704-3907
Fax
(210) 704-3758
NPI assigned
Jul 31, 2006
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTUS SANTA ROSA HEALTH CARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Cris Daskevich
Title
Ceo
Phone
(210) 704-4899

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X
Ambulatory Surgical Clinic/Center 261QA1903X 000339 TX
Rehabilitation Hospital Unit 273Y00000X 000339 TX
General Acute Care Hospital 282N00000X 000339 TX
Children's Hospital 282NC2000X 000339 TX Primary

Addresses

Primary practice location

333 N Santa Rosa St
San Antonio, TX 78207-3108

Mailing address

PO Box 846131
Dallas, TX 75284-6131
Phone (800) 756-7999

Other identifiers 10

IdentifierTypeStateIssuer
909665OtherTXCONNECTICARE
38224OtherTXHEALTH ALLIANCE PLAN
1011RCOtherTXCOMMUNITY FIRST STAR
A7829101OtherTXJOHN DEERE
0007OtherTXTRICARE FOR LIFE
HH0884OtherTXBLUE CROSS
1011OtherTXCOMMUNITY FIRST
H04980OtherTXOXFORD HEALTH PLAN
094356502OtherTXAMERICAID
6542420OtherTXAETNA

Other names 1

  • Childrens Hospital of San Antonio Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120820000119 TX Part A Provider - Hospital 6204745094 Practice locations: San Antonio, TX; New Braunfels, TX

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1821004151. Details of each certification follow.

Hospital certification: CCN 453315

Legal name
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Doing business as
CHRISTUS CHILDREN'S
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Sep 20, 2012
Last certification
Oct 12, 2024
Beds
652
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Feb 19, 1985 in TX
Enrollment address
333 N Santa Rosa
San Antonio, TX 78207-3108
Main/Primary Hospital Location
Hospital subgroups
Children’s

Hospital certification: CCN 453305

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHRISTUS SANTA ROSA CHILDRENS HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jul 1, 2007
Provider type (POS)
Hospital – Children’s
Participating since
Jan 1, 1989
Last certification
Jan 29, 1992
Beds
276 (252 certified)
Ownership / control type
Church
Facility address
333 North Santa Rosa St
San Antonio, TX 78207

Hospital certification: CCN 459806

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHRISTUS SANTA ROSA MEDICAL CENTER TRANSPLANT
Certification status
Terminated Voluntary: merger or closure, Jun 30, 2018
Provider type (POS)
Hospital – Transplant
Participating since
Mar 12, 2009
Last certification
Mar 26, 2015
Facility address
333 Santa Rosa Street
San Antonio, TX 78207

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Children's Hospital of San AntonioCCN 453315 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Santa Rosa Medical Cent4 organizations share this tax ID, including this one
Part of
Santa Rosa Medical Cent

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christus Health Organization, Irving, TX Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Sep 16, 2012 100%
Cris Daskevich Individual Corporate OfficerCeo Oct 1, 2018
Corporate Director Oct 1, 2018
W-2 Managing Employee Oct 1, 2018
Sam R Bagchi Individual Corporate DirectorBoard Member Jan 1, 2025
Patrick Frost Individual Corporate DirectorBoard Member Oct 1, 2018
Kevin Anderson Individual Corporate OfficerCfo Nov 21, 2022
Margaret Lucille Bonnot Individual Corporate Director Jan 1, 2026
Gabriela Moreno Saenz Individual Corporate DirectorBoard Member Jan 1, 2025
Sonia Acosta Individual Corporate DirectorCorporate Secretary Aug 14, 2025
Charles Amato Individual Corporate DirectorBoard Member Jan 1, 2018

Facilities with the same owner 47

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 47

Practitioners & affiliated clinicians

Practitioners 86

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 86

Affiliated clinicians 35

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1821004151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846131",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846131",
            "telephone_number": "800-756-7999",
            "fax_number": "469-282-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-3907",
            "fax_number": "210-704-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS SANTA ROSA HEALTH CARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTUS SANTA ROSA HEALTH CARE CORPORATION",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "DASKEVICH",
        "authorized_official_first_name": "CRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-704-4899"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000339",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "000339",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000339",
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "TX",
            "license": "000339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "909665",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "38224",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY FIRST STAR",
            "identifier": "1011RC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "A7829101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE FOR LIFE",
            "identifier": "0007",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH0884",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY FIRST",
            "identifier": "1011",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "H04980",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "094356502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6542420",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Hospital of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Childrens Hospital of San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.