Individual provider Active NPI

Vivian W. Bucay, M.D.

  • Specialist
  • San Antonio, TX
National Provider Identifier
1821079930
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H3955 Issued in TX
Practice address
326 W Craig PL
San Antonio, TX 78212-3307
Phone
(210) 692-3000
Fax
(210) 692-3056
NPI assigned
Nov 7, 2005
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H3955 TX Primary

Addresses

Primary practice location

326 W Craig PL
San Antonio, TX 78212-3307

Mailing address

326 W Craig PL
San Antonio, TX 78212-3307
Phone (210) 692-3000

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
I20040507000665 TX Practitioner - Dermatology 9931198736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivian W Bucay MD PLLCGroup PAC ID 3274504840, 3 clinicians

Practice addresses (Care Compare)

326 W Craig Place
San Antonio, TX 78212-3307
Phone (210) 692-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions21
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H3955TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vivian W Bucay MD PLLC CurrentSince Aug 5, 2004 Accepting new patients

Locations

18707 Hardy Oak Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 370-9995

326 W Craig Pl
San Antonio, TX 78212
Phone (210) 692-3000

7940 Floyd Curl Dr
Ste 610
San Antonio, TX 78229
Phone (210) 692-3000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1821079930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W CRAIG PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123307",
            "telephone_number": "210-692-3000",
            "fax_number": "210-692-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W CRAIG PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123307",
            "telephone_number": "210-692-3000",
            "fax_number": "210-692-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCAY",
        "first_name": "VIVIAN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H3955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.