Active NPI
Robert Jay Freeman, MD
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1861492787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H7057
- Practice address
- 2455 NE Loop 410
Ste 100
San Antonio, TX 78217-5649 - Phone
- (210) 599-6000
- Fax
- (210) 657-5586
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H7057 | TX | Primary |
Addresses
Primary practice location
2455 NE Loop 410
Ste 100
San Antonio, TX 78217-5649
Mailing address
2455 NE Loop 410
Ste 100
San Antonio, TX 78217-5649
Phone (210) 599-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8G5640 | Other | TX | WELLMED MEDICARE |
| 1362949-10 | Other | TX | WELLMED MEDICAID |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Family Medicine | Current | Accepting new patients |
| Wellmed Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
| Wellmed Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
Locations
2455 NE Loop 410
Ste 100
San Antonio, TX 78217
Phone (210) 599-6000
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
Family Medicine
-
- Family Medicine Physician
- Austin, TX
- NPI 1437457710
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1861492787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 NE LOOP 410",
"address_2": "STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175649",
"telephone_number": "210-599-6000",
"fax_number": "210-657-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 NE LOOP 410",
"address_2": "STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175649",
"telephone_number": "210-599-6000",
"fax_number": "210-657-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "ROBERT",
"middle_name": "JAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H7057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED MEDICARE",
"identifier": "8G5640",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED MEDICAID",
"identifier": "1362949-10",
"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 Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.