Individual provider Active NPI

Jake Julian Trinidad, M.D.

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1861787418
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q5111 Issued in TX
Practice address
14603 Huebner Rd BLDG 12
San Antonio, TX 78230-5481
Phone
(210) 774-1109
NPI assigned
Jun 11, 2011
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Q5111 TX Primary

Addresses

Primary practice location

14603 Huebner Rd BLDG 12
San Antonio, TX 78230-5481

Mailing address

14603 Huebner Rd BLDG 12
San Antonio, TX 78230-5481
Phone (210) 774-1109

Other identifiers 2

IdentifierTypeStateIssuer
1700528239OtherTXNPI
1861787418OtherTXNPI

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
I20150930001140 TX Practitioner - Ophthalmology 6800104530 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14603 Huebner Rd
BLDG 12
San Antonio, TX 78230-5481
Phone (210) 774-1109

14603 Huebner Rd BLDG
12 Trinidad Vision Center
San Antonio, TX 78230-5481

Merit-based Incentive Payment System (MIPS)

Final score
94.58 of 100Reported as individual
Quality
93.16
Improvement activities
40
Cost
91.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander P. Sudarshan MD PA Ophthalmology CurrentSince Apr 5, 2023 Accepting new patients
San Antonio Eye Center, PA Ophthalmology CurrentSince Aug 3, 2015 Accepting new patients
San Antonio Eye Center, P.a. CurrentSince Aug 3, 2015 Accepting new patients
Bexar Eye PLLC Ophthalmology CurrentSince May 1, 2022 Accepting new patients
Alexander P Sudarshan MD PA Ophthalmology CurrentSince Apr 5, 2023 Accepting new patients
San Antonio Eye Center PA Past Accepting new patients

Locations

1058 E Los Ebanos Blvd
Brownsville, TX 78520
Phone (956) 541-4828

14603 Huebner Rd
Bldg 12
San Antonio, TX 78230
Phone (210) 774-1109

2119 Commercial Ave
San Antonio, TX 78221
Phone (210) 922-0604

800 McCullough Ave
San Antonio, TX 78215
Phone (210) 242-7555

1315 E 6th St
Ste 5
Weslaco, TX 78596
Phone (956) 969-3893

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jake.trinidad.p1@direct.saeye.nextgenshare.com
  • Direct secure messaging: jake.trinidad.p2@direct.saeye.nextgenshare.com
  • Direct secure messaging: jake.trinidad.p5@direct.saeye.nextgenshare.com
  • Direct secure messaging: jtrinidad@trinidadeye.intellechartdirect.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1861787418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD BLDG 12",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305481",
            "telephone_number": "210-774-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD BLDG 12",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305481",
            "telephone_number": "210-774-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINIDAD",
        "first_name": "JAKE",
        "middle_name": "JULIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-11",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q5111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700528239",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861787418",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.