Active NPI
South Texas Radiology Group PA
- Diagnostic Radiology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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.
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- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1972579993
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1396721155
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1457338188
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1801813266
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1447236211
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1548554553
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1871797472
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1003250911
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1831165778
CO, Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1972589752
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1568644581
Diagnostic Radiology, TX
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MT, HI, NC, KS, UT, MO, MA, NJ, CO
Enrollment records 10
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations (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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Radiology Clinic/Center | 261QR0200X |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121681401 | Medicaid | TX | |
| 121681402 | Other | TX | CSHCN |
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
- South Texas Periodontal Associates
- South Texas Periodontel Associates
- South Texas PM & R Group, Inc.
- South Texas Prosthetics Inc
- South Texas Psychotherapy
- South Texas Radiology Imaging Centers
- South Texas Skin Cancer Center LLC
- South Texas Smiles, PLLC
- South Texas Specialty Care PLLC
- South Texas Spinal Clinic, P.a.
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.