Active NPI
Kermit Speeg Jr., M.D.
- Hepatology Physician
- San Antonio, TX
National Provider Identifier
1932117108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hepatology Physician
- License
- G4718
- Practice address
- 7979 Wurzbach Rd # Mc7977
San Antonio, TX 78229-4427 - Phone
- (210) 450-9000
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G4718 | TX | |
| Hepatology Physician | 207RI0008X | G4718 | TX | Primary |
Addresses
Primary practice location
7979 Wurzbach Rd # Mc7977
San Antonio, TX 78229-4427
Mailing address
7979 Wurzbach Rd # Mc7977
San Antonio, TX 78229-4427
Phone (210) 450-9000
Other practice location 1
4151 Jaime Zapata Memorial Hwy
Laredo, TX 78043-4773
Phone (210) 450-9000
Other practice location 2
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046549405 | Other | TX | CSHCN |
| 046549406 | Medicaid | TX | |
| 046549401 | Medicaid | TX | |
| 046549404 | Medicaid | TX | |
| 046549402 | Other | TX | CSHCN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- kspeeg48708@uhssa.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1932117108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7979 WURZBACH RD # MC7977",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294427",
"telephone_number": "210-450-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7979 WURZBACH RD # MC7977",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294427",
"telephone_number": "210-450-9000"
}
],
"practiceLocations": [
{
"address_1": "4151 Jaime Zapata Memorial Hwy",
"address_purpose": "LOCATION",
"city": "Laredo",
"state": "TX",
"postal_code": "780434773",
"country_code": "US",
"telephone_number": "210-450-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4502 Medical Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294402",
"country_code": "US",
"telephone_number": "210-358-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPEEG",
"first_name": "KERMIT",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "G4718",
"primary": false
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "TX",
"license": "G4718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "046549405",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046549406",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046549401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046549404",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "046549402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.