NPIMap

Individual provider Active NPI

Roque C Palomo, AGACNP-BC

  • Acute Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1932775525
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2021032295 Issued in TX
Practice address
5460 Babcock Rd Ste 120-C
San Antonio, TX 78240-3901
Phone
(210) 753-0744
NPI assigned
Jun 3, 2021
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2021032295 TX Primary

Addresses

Primary practice location

5460 Babcock Rd Ste 120-C
San Antonio, TX 78240-3901

Mailing address

5460 Babcock Rd Ste 120-C
San Antonio, TX 78240-3901
Phone (210) 753-0744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929003511 TX Practitioner - Nurse Practitioner 6406253608 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bexar Physician Services, PLLCGroup PAC ID 6305298720, 23 clinicians
Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians
South Texas Physician Services, PLLCGroup PAC ID 5890145783, 57 clinicians

Practice addresses (Care Compare)

11212 State Hwy 151
San Antonio, TX 78251-4498
Phone (210) 703-8000

16620 N US Hwy 281
Suite 300
San Antonio, TX 78232-2679

16620 San Pedro Ave
Suite 300
San Antonio, TX 78232-2679
Phone (210) 871-4701

600 N Union Ave
New Braunfels, TX 78130-4194
Phone (830) 606-9111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2021032295TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC CurrentSince Nov 22, 2024 Accepting new patients
Inpatient Progressive Health of America, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Apotheosis Medical Group, PLLC CurrentSince Nov 1, 2025 Accepting new patients
South Texas Physician Services, PLLC CurrentSince May 1, 2025 Accepting new patients
Bexar Physician Services, PLLC CurrentSince Aug 5, 2024 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

423 Treeline Park
Ste 310
San Antonio, TX 78209
Phone (210) 665-4199

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Interoperability endpoints

  • Direct secure messaging: rpalomo416638@christushealth.direct-ci.net

Organizations & group practices 6

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 6

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1932775525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 BABCOCK RD STE 120-C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403901",
            "telephone_number": "210-753-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 BABCOCK RD STE 120-C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403901",
            "telephone_number": "210-753-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMO",
        "first_name": "ROQUE",
        "middle_name": "C",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "2021032295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.