Giancarlo Roberto Ferruzzi, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

H9924 Issued in TX

Practice address

13409 NW Military Hwy
Suite 310
Shavano Park, TX 78231

Phone

(210) 614-9800

Fax

(210) 593-0967

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Giancarlo Roberto Ferruzzi Other name

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

Psychiatry

Education

University of Texas Medical School at San Antonio, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gferruzzi31075@direct.utmsa.com

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.

• University of Texas Health Science Center at San Antonio

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720051717
  Medicare reassignment Care Compare group NPD
• Gulf Bend Mental Health Mental Retardation Center

  • Professional Counselor
  • Victoria, TX
  • NPI 1467434399

  Psychiatry

  Medicare reassignment NPD
• Ferruzzi Psychiatric Services, PLLC

  • Child & Adolescent Psychiatry Physician
  • Shavano Park, TX
  • NPI 1720613532
  NPD Authorized official
• The University of Texas Health Science Center at San Antonio

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  NPD
• Methodist Inpatient Management Group

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1275582504
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1891844866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 NURSERY DR.",
            "address_2": "SUITE 100",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "210-614-9800",
            "fax_number": "210-593-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13409 NW MILITARY HWY",
            "address_2": "SUITE 310",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "78231",
            "telephone_number": "210-614-9800",
            "fax_number": "210-593-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRUZZI",
        "first_name": "GIANCARLO",
        "middle_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-01-29",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H9924",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "H9924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096834903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0067BP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096834902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U9624",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIANCARLO",
            "last_name": "FERRUZZI",
            "middle_name": "ROBERTO",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wilson Irabor Ebhohon
• Eleven Eleven Counseling and Wellness
• Evolve Wellness Center LLC
• Daniela Nazaret Fargason, MD
• Ferruzzi Psychiatric Services, PLLC
• Richard J Fetchick, MD
• Floreciendo Holistic Therapy PLLC
• Javier Luis Flores Jr.
• Abiola Omololu Folarin, PHARMACIST RPH
• Frank K. Kuwamura III MD PA

• Child & Adolescent Psychiatry Physician in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.