Individual provider Active NPI

Jeremias M. Abueme, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1891790960
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J7401 Issued in TX
Practice address
5282 Medical Drive
Ste 130
San Antonio, TX 78229-6023
Phone
(210) 615-8434
Fax
(210) 615-8436
NPI assigned
Jun 16, 2005
Last updated
Nov 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J7401 TX Primary

Addresses

Primary practice location

5282 Medical Drive
Ste 130
San Antonio, TX 78229-6023

Mailing address

5282 Medical Drive
Ste 130
San Antonio, TX 78229-6023
Phone (210) 615-8434

Other identifiers 1

IdentifierTypeStateIssuer
113229203MedicaidTX

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
I20110906000553 TX Practitioner - Internal Medicine 7810167624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5282 Medical Dr
Suite 130
San Antonio, TX 78229-6023
Phone (210) 615-8434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J7401TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremias M. Abueme,MD,PA CurrentSince Sep 1, 2011 Accepting new patients

Locations

5282 Medical Dr
Ste 130
San Antonio, TX 78229
Phone (210) 615-8366

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
A Bliss Hospice CareSan Antonio, TX, CCN 741562 Hospice Contracted Managing Employee
Corporate Director
Nov 1, 2012
Nov 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1891790960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DRIVE",
            "address_2": "STE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296023",
            "telephone_number": "210-615-8434",
            "fax_number": "210-615-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DRIVE",
            "address_2": "STE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296023",
            "telephone_number": "210-615-8434",
            "fax_number": "210-615-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUEME",
        "first_name": "JEREMIAS",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J7401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113229203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.