Organization Active NPI

University Physicians Group

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1891453726
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY PHYSICIANS GROUP
Practice address
7979 Wurzbach Rd BLDG G467
San Antonio, TX 78229-4427
Phone
(210) 450-1000
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Andrea Marks
Title
Senior Executive Vice President
Phone
(210) 450-4621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7979 Wurzbach Rd BLDG G467
San Antonio, TX 78229-4427

Mailing address

8431 Fredericksburg Rd FL 5
San Antonio, TX 78229-3392
Phone (210) 450-9000

Other names 1

  • Medical Management Program Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220209002803 TX Part B Supplier - Clinic/Group Practice 6709279029 Receives reassigned benefits from 6 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

7979 Wurzbach Rd
Bldg St
San Antonio, TX 78229
Phone (210) 450-1000

7979 Wurzbach Rd
#G467
San Antonio, TX 78229
Phone (210) 450-1000

7979 Wurzbach Rd
Bldg G467
San Antonio, TX 78229
Phone (210) 450-1000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1891453726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8431 FREDERICKSBURG RD FL 5",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293392",
            "telephone_number": "210-450-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 WURZBACH RD BLDG G467",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294427",
            "telephone_number": "210-450-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "SENIOR EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "210-450-4621"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Management Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.