Individual provider Active NPI

Sylvia Leal-Castanon, MD

  • Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1841307915
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J5603 Issued in TX
Practice address
333 N Santa Rosa, 3Rd FL
San Antonio, TX 78207
Phone
(210) 257-1400
NPI assigned
Aug 24, 2006
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J5603 TX Primary

Addresses

Primary practice location

333 N Santa Rosa, 3Rd FL
San Antonio, TX 78207

Mailing address

Uthscsa, Uthscsa, Dept. of Pediatrics
7703 Floyd Curl Drive, MSC 7808
San Antonio, TX 78229
Phone (210) 592-0400

Other practice location 1

903 W Martin St # MS 49-2
San Antonio, TX 78207-0903
Phone (201) 358-5437

Other identifiers 2

IdentifierTypeStateIssuer
103050402OtherTXCIDC
103050401MedicaidTX

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
I20090731000337 TX Practitioner - Pediatric Medicine 6406909936 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5603TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Pediatrics CurrentSince May 1, 2013 Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients
University of Texas Health Science Center at San Antonio Pediatrics Past Accepting new patients
Pain Management Specialists PastSince Feb 7, 2021 Accepting new patients

Locations

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

903 W Martin St
Ste 492
San Antonio, TX 78207

Interoperability endpoints

  • Direct secure messaging: slealcastanon47898@uhssa.direct-ci.com

Organizations & group practices 4

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1841307915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UTHSCSA, UTHSCSA, DEPT. OF PEDIATRICS",
            "address_2": "7703 FLOYD CURL DRIVE, MSC 7808",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-592-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA, 3RD FL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78207",
            "telephone_number": "210-257-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 W Martin St # MS 49-2",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782070903",
            "country_code": "US",
            "telephone_number": "201-358-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAL-CASTANON",
        "first_name": "SYLVIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J5603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIDC",
            "identifier": "103050402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103050401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.