Individual provider Active NPI

David Andrew Djuric, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1912963349
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101239790 Issued in VA
Practice address
7622 Louis Pasteur Dr Ste 201
San Antonio, TX 78229-4019
Phone
(210) 732-3668
Fax
(210) 732-3338
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101239790 VA Primary

Addresses

Primary practice location

7622 Louis Pasteur Dr Ste 201
San Antonio, TX 78229-4019

Mailing address

7622 Louis Pasteur Dr Ste 201
San Antonio, TX 78229-4019
Phone (210) 732-3668

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
I20220906000726 TX Practitioner - Family Practice 8729226691 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Networks, Inc. CurrentSince Sep 19, 2022 Accepting new patients
Wellmed Medical Group, PA Family Medicine PastSince Jun 9, 2024 Accepting new patients

Locations

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

7622 Louis Pasteur Dr
Ste 201
San Antonio, TX 78229
Phone (210) 610-3859

Interoperability endpoints

  • Direct secure messaging: david.djuric@wellmed.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1912963349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294019",
            "telephone_number": "210-732-3668",
            "fax_number": "210-732-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7622 LOUIS PASTEUR DR STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294019",
            "telephone_number": "210-732-3668",
            "fax_number": "210-732-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJURIC",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101239790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.