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
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

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

Specialties & licenses 2

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

Addresses

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

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 35)

2250 Apres Ski Way
#311
Steamboat Springs, CO 80487

2700 Ke Alaula St
Koloa, HI 96756

131 Menger SPGS
Boerne, TX 78006

1301 Hospital Blvd
Floresville, TX 78114
Phone (830) 216-7096

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

457 Laurence Dr
Ste 444
Heath, TX 75032

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

1200 Brooklyn Ave
Ste 100
San Antonio, TX 78212
Phone (210) 208-2500

1200 Brooklyn Ave
Ste 160
San Antonio, TX 78212

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

325 E Sonterra Blvd
Ste 120
San Antonio, TX 78258
Phone (210) 490-1342

414 Navarro St
Ste 1502
San Antonio, TX 78205
Phone (210) 271-1883

4243 E Southcross Blvd
Ste 102
San Antonio, TX 78222
Phone (210) 617-9970

4450 Medical Dr
San Antonio, TX 78229
Phone (210) 616-5500

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

4499 Medical Dr
Ste 171A
San Antonio, TX 78229

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

5284 Medical Dr
Ste 102
San Antonio, TX 78229
Phone (210) 614-4656

7402 John Smith Dr
Ste 103
San Antonio, TX 78229
Phone (210) 614-4051

7930 Floyd Curl Dr
Fl 2
San Antonio, TX 78229
Phone (210) 617-9850

7950 Floyd Curl Dr
#1
San Antonio, TX 78229

7950 Floyd Curl Dr
Slp 121
San Antonio, TX 78229

7950 Floyd Curl Dr
Ste 20
San Antonio, TX 78229

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

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

Practitioners & affiliated clinicians

Practitioners 159

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 159

NPI Registry JSON

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

{
    "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": [],
    "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.