NPIMap

Organization Active NPI

San Antonio Premier Internal Medicine, PLLC

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1891958542
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAN ANTONIO PREMIER INTERNAL MEDICINE, PLLC
Practice address
1032 S WW White Rd
San Antonio, TX 78220-2531
Phone
(210) 447-3033
Fax
(210) 447-3036
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Dr. Ayham F. Shneker, MDNPI 1871557454
Title
President
Phone
(210) 447-3033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1032 S WW White Rd
San Antonio, TX 78220-2531

Mailing address

1032 S WW White Rd
San Antonio, TX 78220-2531
Phone (210) 447-3033

Other identifiers 2

IdentifierTypeStateIssuer
0098RTOtherTXBCBS
202478801MedicaidTX

Other names 1

  • SA Premier IM Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090106000276 TX Part B Supplier - Clinic/Group Practice 6608935366 Receives reassigned benefits from 13 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

4411 E Southcross Blvd
San Antonio, TX 78222
Phone (210) 648-9500

7101 San Pedro Ave
#A
San Antonio, TX 78216
Phone (210) 340-2707

1139 SE Military Dr
Ste 108
San Antonio, TX 78214
Phone (210) 922-1850

23127 W Interstate 10
Ste 101
San Antonio, TX 78257
Phone (210) 922-1850

1040 S WW White Rd
#C
San Antonio, TX 78220
Phone (210) 447-3033

1040 S WW White Rd
San Antonio, TX 78220
Phone (210) 333-2020

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1891958542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 S WW WHITE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782202531",
            "telephone_number": "210-447-3033",
            "fax_number": "210-447-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 S WW WHITE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782202531",
            "telephone_number": "210-447-3033",
            "fax_number": "210-447-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO PREMIER INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "SHNEKER",
        "authorized_official_first_name": "AYHAM",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-447-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0098RT",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202478801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SA Premier IM",
            "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 May 14, 2021; 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.