Individual provider Active NPI

Ted K Chiang, M.D.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1922026509
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
K3129 Issued in TX
Practice address
19522 Brooke PL
San Antonio, TX 78258-2784
Phone
(210) 485-1846
Fax
(210) 399-2731
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X K3129 TX Primary

Addresses

Primary practice location

19522 Brooke PL
San Antonio, TX 78258-2784

Mailing address

16170 Jones Maltsberger Rd
Ste 106
San Antonio, TX 78247-3202
Phone (210) 485-1844

Other identifiers 2

IdentifierTypeStateIssuer
8W6541OtherTXBLUE CROSS BLUE SHIELD
046152702MedicaidTX

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
I20070221000543 TX Practitioner - Anesthesiology 8628060290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at Houston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unico Anesthesia Group PLLCGroup PAC ID 4880906817, 5 clinicians

Practice addresses (Care Compare)

16170 Jones Maltsberger Rd
Suite 106
San Antonio, TX 78247-3202
Phone (210) 485-1844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3129TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unico Anesthesia Group, PLLC Anesthesiology CurrentSince May 1, 2015 Accepting new patients
Martin G. Flores, M.D., P.a. Anesthesiology PastSince Mar 1, 2021 Accepting new patients
Plaza Anesthesia Consultants, PLLC Anesthesiology Past Accepting new patients

Locations

16607 Blanco Rd
Ste 303
San Antonio, TX 78232
Phone (210) 485-1844

16170 Jones Maltsberger Rd
Ste 106
San Antonio, TX 78247
Phone (210) 485-1844

Organizations & group practices 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1922026509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 JONES MALTSBERGER RD",
            "address_2": "STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473202",
            "telephone_number": "210-485-1844",
            "fax_number": "210-399-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19522 BROOKE PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582784",
            "telephone_number": "210-485-1846",
            "fax_number": "210-399-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "TED",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K3129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8W6541",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046152702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.