Alamo Primary Care of Potranco PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALAMO PRIMARY CARE OF POTRANCO PLLC

Practice address

12047 Potranco Rd Ste 105
San Antonio, TX 78253-7555

Phone

(210) 571-1338

Fax

(210) 571-1339

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Vishal M NemarugommulaNPI 1194982777

Title

MD

Phone

(210) 571-1338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCDBDD

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vishal Nemarugommula, MBBS

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1194982777
  Medicare reassignment NPD Authorized official
• Felicity Melodee Guajardo, APRN-AGCNS-BC

  • Clinical Nurse Specialist
  • Lytle, TX
  • NPI 1023470366
  Medicare reassignment NPD
• Eric Abraham Ornelas, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1558166611
  Medicare reassignment NPD
• Mark Daniel Galvan, PA

  • Physician Assistant
  • San Antonio, TX
  • NPI 1588487920
  Medicare reassignment
• Selena Marie Villarreal

  • Physician Assistant
  • San Antonio, TX
  • NPI 1215665591
  Medicare reassignment
• Jackline Jepchirchir Kemei

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1568327989
  NPD
• Elyanna Francisca Aguirre

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1407774599
  NPD (past)
• Jeana Marie Boyles

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1861310773
  NPD (past)
• Gregory Scott Carlson, NP

  • Gerontology Nurse Practitioner
  • San Antonio, TX
  • NPI 1740822576
  NPD (past)
• Michelle Oetjens, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1821622937
  NPD (past)

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1912601907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12047 POTRANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782537555",
            "telephone_number": "210-571-1338",
            "fax_number": "210-571-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12047 POTRANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782537555",
            "telephone_number": "210-571-1338",
            "fax_number": "210-571-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 S. Main Street",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "78006",
            "country_code": "US",
            "telephone_number": "830-280-0830",
            "fax_number": "830-280-0832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALAMO PRIMARY CARE OF POTRANCO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "NEMARUGOMMULA",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "210-571-1338"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alamo Nutrition Consultants, LLC
• Alamo Oncology Associates, PA
• Alamo Osteopathic Physicians and Surgeons
• Alamo Pediatric Eye Center, PLLC
• Alamo Premier Mental Health PLLC
• Alamo Prosthethics,Orthotics and Medical Equipment Inc.
• Alamo Psychiatric Care P. a.
• Alamo PT LLC
• Alamo Ranch 7To7 PLLC
• Alamo Ranch Childrens Dentistry PLLC

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.