Individual provider Active NPI

Joycelyn Marie Theard, MD

  • Gastroenterology Physician
  • San Antonio, TX
National Provider Identifier
1912082355
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F4594 Issued in TX
Practice address
19284 Stone Oak Pkwy Ste 104
San Antonio, TX 78258-3474
Phone
(210) 268-0120
Fax
(210) 268-0170
NPI assigned
Oct 26, 2006
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X F4594 TX Primary

Addresses

Primary practice location

19284 Stone Oak Pkwy Ste 104
San Antonio, TX 78258-3474

Mailing address

19284 Stone Oak Pkwy Ste 104
San Antonio, TX 78258-3474
Phone (210) 268-0120

Other identifiers 1

IdentifierTypeStateIssuer
034507602MedicaidTX

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
I20070328000606 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 2163493248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Harvard Medical School, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19284 Stone Oak Pkwy
Suite 104
San Antonio, TX 78258-3474
Phone (210) 268-0120

580 Cibolo Valley Dr
Suite 249
Cibolo, TX 78108-4515
Phone (210) 268-0120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.51 of 100Reported as individual
Quality
55.58
Improvement activities
40
Cost
74.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy131
Upper gastrointestinal (GI) endoscopy for acid reflux109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F4594TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Institute of Gastroenterology Associates , PA Gastroenterology CurrentSince Jun 1, 2008 Accepting new patients

Locations

580 Cibolo Valley Dr
Ste 249
Cibolo, TX 78108
Phone (210) 268-0120

19226 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 268-0100

19284 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 268-0120

19284 Stone Oak Pkwy
Ste 104
San Antonio, TX 78258
Phone (210) 268-0120

3338 Oakwell Ct
Ste 205
San Antonio, TX 78218
Phone (210) 656-3070

Interoperability endpoints

  • Direct secure messaging: joycelyn.theard.1@29421.direct.athenahealth.com

Organizations & group practices 2

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1912082355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19284 STONE OAK PKWY STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583474",
            "telephone_number": "210-268-0120",
            "fax_number": "210-268-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19284 STONE OAK PKWY STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583474",
            "telephone_number": "210-268-0120",
            "fax_number": "210-268-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEARD",
        "first_name": "JOYCELYN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F4594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034507602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.