Organization Active NPI

South Texas Radiology Group PA

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1851368039
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SOUTH TEXAS RADIOLOGY GROUP PA
Practice address
Colonnade I, 9901 Ih-10 West
Suite 905
San Antonio, TX 78230
Phone
(210) 616-7700
NPI assigned
Mar 7, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Bill Ziemke
Title
Chief Executive Officer
Phone
(210) 616-7700

Practitioners 159

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT, HI, NC, KS, UT, MO, MA, NJ, CO10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20040130000694 TX Part B Supplier - Clinic/Group Practice 2567365083 Receives reassigned benefits from 102 practitioners
Practice locations: San Antonio, TX; Schertz, TX; Spicewood, TX; Big Spring, TX; Boerne, TX; Del Rio, TX; Floresville, TX; Fredericksburg, TX…
O20220908002193 MT Part B Supplier - Clinic/Group Practice 2567365083 Receives reassigned benefits from 1 practitioner
Practice locations: Bigfork, MT
O20241022003074 HI Part B Supplier - Clinic/Group Practice 2567365083 Receives reassigned benefits from 1 practitioner
Practice locations: Koloa, HI
O20250805000194 NC Part B Supplier - Clinic/Group Practice 2567365083 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, NC
O20250904003848 KS Part B Supplier - Clinic/Group Practice 2567365083 Receives reassigned benefits from 15 practitioners
Practice locations: Leawood, KS
O20251113001104 UT Part B Supplier - Clinic/Group Practice 2567365083 Receives reassigned benefits from 1 practitioner
Practice locations: Draper, UT
O20251219002570 MO Part B Supplier - Clinic/Group Practice 2567365083 Receives reassigned benefits from 1 practitioner
Practice locations: Lees Summit, MO
O20260112002258 MA Part B Supplier - Clinic/Group Practice 2567365083 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, MA
O20260121000185 NJ Part B Supplier - Clinic/Group Practice 2567365083 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Laurel, NJ
O20260218001640 CO Part B Supplier - Clinic/Group Practice 2567365083 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO; Steamboat Springs, CO

National Provider Directory

National Provider Directory

Locations (25 of 30)

2250 Apres Ski Way
#311
Steamboat Springs, CO 80487

2700 Ke Alaula St
Koloa, HI 96756

131 Menger SPGS
Boerne, TX 78006

128 W Bandera Rd
Ste 5
Boerne, TX 78006
Phone (830) 816-9500

13857 US Highway 87 W
Lavernia, TX 78121
Phone (830) 253-2101

12602 Toepperwein Rd
Ste 101
Live Oak, TX 78233
Phone (201) 564-1560

12709 Toepperwein Rd
Ste 106
Live Oak, TX 78233
Phone (210) 617-9700

8038 Wurzbach Rd
Ste 150
San Antonio, TX 78229
Phone (210) 616-7760

4499 Medical Dr
Ste 171AB
San Antonio, TX 78229
Phone (210) 617-9200

8201 Ewing Halsell Dr
Ste 210
San Antonio, TX 78229

8401 Datapoint Dr
Ste 600
San Antonio, TX 78229
Phone (210) 616-7796

7950 Floyd Curl Dr
Ste 20
San Antonio, TX 78229

9901 W Interstate 10
San Antonio, TX 78230
Phone (210) 698-9093

7950 Floyd Curl Dr
Slp 121
San Antonio, TX 78229

7950 Floyd Curl Dr
Ste 201
San Antonio, TX 78229
Phone (210) 617-9800

7979 Wurzbach Rd
Ste U113
San Antonio, TX 78229
Phone (210) 617-9050

21 Spurs Ln
Ste SL-140
San Antonio, TX 78240
Phone (210) 617-9100

4410 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-6750

1200 Brooklyn Ave
Ste 160
San Antonio, TX 78212

7950 Floyd Curl Dr
Ste 200
San Antonio, TX 78229
Phone (210) 617-9800

7950 Floyd Curl Dr
Ste SL121
San Antonio, TX 78229

8038 Wurzbach Rd
Ste 600
San Antonio, TX 78229
Phone (210) 575-8005

9901 W Interstate 10
Ste 905
San Antonio, TX 78230
Phone (410) 955-6369

7950 Floyd Curl Dr
Ste SL120
San Antonio, TX 78229

7950 Floyd Curl Dr
#1
San Antonio, TX 78229

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
Radiology Clinic/Center 261QR0200X

Addresses

NPPES NPI Registry

Primary practice location

Colonnade I, 9901 Ih-10 West
Suite 905
San Antonio, TX 78230

Mailing address

Colonnade I, 9901 Ih-10 West
Suite 905
San Antonio, TX 78230-5900

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
121681401MedicaidTX
121681402OtherTXCSHCN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2024.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1851368039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COLONNADE I, 9901 IH-10 WEST",
            "address_2": "SUITE 905",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLONNADE I, 9901 IH-10 WEST",
            "address_2": "SUITE 905",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78230",
            "telephone_number": "210-616-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS RADIOLOGY GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "ZIEMKE",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "210-616-7700"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121681401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "121681402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.