Eusebio M Montejo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N3905 Issued in TX

Practice address

122 Saint Cloud Rd
San Antonio, TX 78228-5009

Phone

(726) 240-6949

Fax

(210) 761-3397

NPI assigned

Oct 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Family Practice

Education

Wake Forest University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conviva Medical Center Management of Texas, P.a.Group PAC ID 8729302278, 146 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Conviva Medical Center Management of Texas, P.a.

  • Internal Medicine Physician
  • Live Oak, TX
  • NPI 1770988990

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care (SC) PC

  dba CenterWell Senior Primary Care-Orchard Park

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1376907790

  Family Medicine

  NPD
• CD Urgent Care Center 5, PLLC

  • Urgent Care Clinic/Center
  • Fort Worth, TX
  • NPI 1407224850
  NPD (past)
• Paul Phillips III, M.D., P.a.

  dba Phillips Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Fredericksburg, TX
  • NPI 1477045151
  NPD (past)
• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - Inland Empire, a service of Dignity Hea

  • Multi-Specialty Clinic/Center
  • Highland, CA
  • NPI 1053653873
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1861671364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "407-533-6836",
            "fax_number": "407-770-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SAINT CLOUD RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782285009",
            "telephone_number": "726-240-6949",
            "fax_number": "210-761-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEJO",
        "first_name": "EUSEBIO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A95635",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eusebio.montejo.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "122 Saint Cloud Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782285009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glen D Monteiro, MD
• Valerie Monteiro, D.C.
• Gabriela Montejano - de la Cruz, R.N.
• Selina Montejano
• Stacey Roberta Montejano, NP
• Joseph Anthony Montellano, LCDC, LPC-A
• Mary Louise Montellano
• Ashley Kay Montelongo
• Javier Montelongo
• Saul Montelongo, MD

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.