Individual provider Active NPI

Carlos R Carretero, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1851434435
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14599 Issued in PR
Practice address
414 Navarro St
Ste 703
San Antonio, TX 78205-2515
Phone
(210) 224-4811
Fax
(210) 224-1573
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P7616 TX
Internal Medicine Physician 207R00000X 14599 PR Primary

Addresses

Primary practice location

414 Navarro St
Ste 703
San Antonio, TX 78205-2515

Mailing address

PO Box 781165
San Antonio, TX 78278-1165
Phone (210) 224-4811

Other identifiers 2

IdentifierTypeStateIssuer
1780241737OtherTXGROUP NPI
1851434435OtherPRNPI: 1851434435

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
I20130924000663 TX Practitioner - Internal Medicine 4981620408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

124 Dallas St
San Antonio, TX 78205-1202
Phone (210) 224-1771

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

430 W Sunset Rd
San Antonio, TX 78209-1770

926 Brooklyn Ave
San Antonio, TX 78215-1637

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7616TXMDInternal Medicine Physician
TEMPORARYTXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Oct 31, 2019 Accepting new patients
BHS Physicians Network, Inc CurrentSince Oct 31, 2019 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

414 Navarro St
Ste 703
San Antonio, TX 78205
Phone (210) 224-4811

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

926 Brooklyn Ave
Ste 100
San Antonio, TX 78215
Phone (210) 229-9282

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: carlos.carretero.1@1438.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1851434435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781165",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782781165",
            "telephone_number": "210-224-4811",
            "fax_number": "210-224-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "STE 703",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052515",
            "telephone_number": "210-224-4811",
            "fax_number": "210-224-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRETERO",
        "first_name": "CARLOS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P7616",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1780241737",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI: 1851434435",
            "identifier": "1851434435",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.