Individual provider Active NPI

Jennifer A. Borromeo, M.D.

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1932586435
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
T5690 Issued in TX
Practice address
8300 Floyd Curl Dr FL 6
San Antonio, TX 78229-3931
Phone
(210) 450-9400
Fax
(210) 450-6024
NPI assigned
May 4, 2015
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 141348 FL
Ophthalmology Physician 207W00000X T5690 TX Primary

Addresses

Primary practice location

8300 Floyd Curl Dr FL 6
San Antonio, TX 78229-3931

Mailing address

8300 Floyd Curl Dr FL 6
San Antonio, TX 78229-3931
Phone (210) 450-9400

Other practice location 1

701 S Zarzamora St
San Antonio, TX 78207-5209
Phone (210) 358-7600

Other names 1

  • Jennifer A. Wall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190918000127 FL Practitioner - Ophthalmology 6103122619 Reassigns benefits to 1 organization
I20220414000463 TX Practitioner - Ophthalmology 6103122619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone (210) 450-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141348FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lazenby & Heath MD's PA Ophthalmology CurrentSince Nov 18, 2019 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Mar 21, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio Ophthalmology Current Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Mar 21, 2022 Accepting new patients
Lazenby & Heath MD's PA Ophthalmology CurrentSince Nov 18, 2019 Accepting new patients

Locations

1109 US Highway 19
Holiday, FL 34691
Phone (727) 934-5705

1109 US Highway 19
Ste B
Holiday, FL 34691
Phone (727) 934-5705

2770 E Bay Dr
Largo, FL 33771
Phone (727) 530-1425

701 S Zarzamora St
San Antonio, TX 78207
Phone (210) 358-7000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

8300 Floyd Curl Dr
Fl 6
San Antonio, TX 78229
Phone (210) 450-9400

Interoperability endpoints

  • Direct secure messaging: jwall33912@direct.utmsa.com

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.

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": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1932586435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 FLOYD CURL DR FL 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293931",
            "telephone_number": "210-450-9400",
            "fax_number": "210-450-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 FLOYD CURL DR FL 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293931",
            "telephone_number": "210-450-9400",
            "fax_number": "210-450-6024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 S Zarzamora St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782075209",
            "country_code": "US",
            "telephone_number": "210-358-7600",
            "fax_number": "210-358-7623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORROMEO",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "141348",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "T5690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WALL",
            "middle_name": "A.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.