Individual provider Active NPI

Steven Villarreal, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1912318510
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA08874 Issued in TX
Practice address
1919 Rogers Rd
Suite 104
San Antonio, TX 78251-4614
Phone
(210) 541-0700
Fax
(210) 541-6868
NPI assigned
May 16, 2014
Last updated
Jul 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA08874 TX Primary

Addresses

Primary practice location

1919 Rogers Rd
Suite 104
San Antonio, TX 78251-4614

Mailing address

1919 Rogers Rd
Suite 104
San Antonio, TX 78251-4614
Phone (210) 541-0700

Other practice location 1

7616 Culebra Rd
Ste. 130
San Antonio, TX 78251-1476
Phone (210) 509-2603

Other practice location 2

7616 Culebra Rd
Ste. 130
San Antonio, TX 78251-1476
Phone (210) 509-2603

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140827001239 TX Practitioner - Physician Assistant 8527286947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William a. Tisdall, M.D., P.a.Group PAC ID 2860517877, 9 clinicians

Practice addresses (Care Compare)

1919 Rogers Rd
San Antonio, TX 78251-4775

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
95
Improvement activities
40
Cost
72.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08874TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
William a. Tisdall, M.D., P.a. CurrentSince Apr 10, 2017 Accepting new patients

Locations

1919 Rogers Rd
Ste 104
San Antonio, TX 78251

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.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1912318510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 ROGERS RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514614",
            "telephone_number": "210-541-0700",
            "fax_number": "210-541-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 ROGERS RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514614",
            "telephone_number": "210-541-0700",
            "fax_number": "210-541-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7616 Culebra Rd",
            "address_2": "Ste. 130",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782511476",
            "country_code": "US",
            "telephone_number": "210-509-2603",
            "fax_number": "210-334-2861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7616 Culebra Rd",
            "address_2": "Ste. 130",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782511476",
            "country_code": "US",
            "telephone_number": "210-509-2603",
            "fax_number": "210-334-2861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "STEVEN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.