Individual provider Active NPI

Paula Sue Vogel, M.D.

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1881678779
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
K9447 Issued in TX
Practice address
2632 Broadway St
Suite 401N
San Antonio, TX 78215-1147
Phone
(210) 226-0040
Fax
(210) 226-0050
NPI assigned
Dec 4, 2005
Last updated
Mar 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X K9447 TX
Dermatology Physician 207N00000X K9447 TX Primary

Addresses

Primary practice location

2632 Broadway St
Suite 401N
San Antonio, TX 78215-1147

Mailing address

2632 Broadway St Ste 201N
San Antonio, TX 78215-1145
Phone (210) 226-0040

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
I20060117000825 TX Practitioner - Dermatology 8628092699 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA Dermatology CurrentSince Oct 1, 2025 Accepting new patients
Sonterra Dermatology PLLC CurrentSince Jun 17, 2019 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Mar 8, 2022 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Mar 8, 2022 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
Neil F Haddock MD PA Past Accepting new patients

Locations

7832 Pat Booker Rd
Live Oak, TX 78233
Phone (210) 657-9338

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

1314 E Sonterra Blvd
Ste 2201
San Antonio, TX 78258
Phone (210) 496-5792

18540 Sigma Rd
San Antonio, TX 78258
Phone (210) 490-4661

2632 Broadway St
Ste 201N
San Antonio, TX 78215
Phone (210) 226-0040

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

8210 Callaghan Rd
San Antonio, TX 78230
Phone (210) 805-2526

Organizations & group practices 7

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": "1133654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1881678779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 BROADWAY ST STE 201N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151145",
            "telephone_number": "210-226-0040",
            "fax_number": "210-226-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 BROADWAY ST",
            "address_2": "SUITE 401N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151147",
            "telephone_number": "210-226-0040",
            "fax_number": "210-226-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "PAULA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-04",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "K9447",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K9447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.