Individual provider Active NPI

Teresa M. Godinez, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1922270982
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L1329 Issued in TX
Practice address
22250 Bulverde Rd
Ste 120
San Antonio, TX 78261-3084
Phone
(210) 401-8185
Fax
(210) 401-8186
NPI assigned
Mar 31, 2008
Last updated
Jan 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0065910 MD
Internal Medicine Physician 207R00000X 105929 FL
Internal Medicine Physician 207R00000X L1329 TX Primary

Addresses

Primary practice location

22250 Bulverde Rd
Ste 120
San Antonio, TX 78261-3084

Mailing address

22250 Bulverde Rd
Ste 120
San Antonio, TX 78261-3084
Phone (210) 401-8185

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
I20130916000165 TX Practitioner - Internal Medicine 3375670243 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Care Clinic LLCGroup PAC ID 3779742713, 10 clinicians
Sona LLC of TexasGroup PAC ID 3870618622, 14 clinicians

Practice addresses (Care Compare)

318 W Loop 1604
San Antonio, TX 78245-3194
Phone (210) 523-2273

6032 FM
3009 Suite 120
Schertz, TX 78154-3443
Phone (210) 878-4033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105929FLMDInternal Medicine Physician
D0065910MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Clinic LLC CurrentSince Apr 19, 2016 Accepting new patients
Sona LLC of Texas CurrentSince Apr 19, 2016 Accepting new patients
Tri County Family Medical Care Group LLC Past Accepting new patients
Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc Past Accepting new patients

Locations

19422 US Highway 281 N
Ste 106
San Antonio, TX 78258
Phone (210) 455-9000

318 W Loop 1604 N
San Antonio, TX 78245
Phone (210) 455-9000

6032 FM 3009
Ste 120
Schertz, TX 78154
Phone (210) 878-4033

Organizations & group practices 5

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1922270982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 BULVERDE RD",
            "address_2": "STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782613084",
            "telephone_number": "210-401-8185",
            "fax_number": "210-401-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 BULVERDE RD",
            "address_2": "STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782613084",
            "telephone_number": "210-401-8185",
            "fax_number": "210-401-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINEZ",
        "first_name": "TERESA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0065910",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "105929",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.