Individual provider Active NPI

Rounak Dharani, NP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1952073850
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1055814 Issued in TX
Practice address
14800 San Pedro Ave Ste 115
San Antonio, TX 78232-3734
Phone
(844) 789-7246
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1055814 TX Primary

Addresses

Primary practice location

14800 San Pedro Ave Ste 115
San Antonio, TX 78232-3734

Mailing address

19141 Stone Oak Pkwy Ste 104
San Antonio, TX 78258-3367
Phone (210) 268-0129

Other practice location 1

110 Stone Oak Loop Ste 103
San Antonio, TX 78258-3511
Phone (844) 789-7246

Other practice location 2

717 Generations Dr Ste B
New Braunfels, TX 78130-0009
Phone (844) 789-7246

Other practice location 3

8627 Cinnamon Creek Dr Bldg 100
San Antonio, TX 78240-1480
Phone (844) 789-7246

Other practice location 4

94 Briggs St Ste 500
San Antonio, TX 78224-1285
Phone (121) 075-6598

Other practice location 5

3338 Oakwell Ct Ste 104
San Antonio, TX 78218-3087
Phone (844) 789-7246

Other practice location 6

861 Landa St
New Braunfels, TX 78130-6115
Phone (866) 384-5470

Other identifiers 1

IdentifierTypeStateIssuer
443816002MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818000186 TX Practitioner - Nurse Practitioner 0648653055 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1055814TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tricity Pain Associates PA CurrentSince Jul 11, 2022 Accepting new patients
Tricity Pain Associates PA CurrentSince Jul 11, 2022 Accepting new patients
SMB Combined Ventures PLLC PastSince Jan 7, 2024 Accepting new patients

Locations

717 Generations Dr
Ste B
New Braunfels, TX 78130
Phone (830) 264-8189

861 Landa St
New Braunfels, TX 78130
Phone (210) 546-1460

110 Stone Oak Loop
Ste 103
San Antonio, TX 78258
Phone (210) 268-0156

19141 Stone Oak Pkwy
Ste 104
San Antonio, TX 78258
Phone (210) 756-5989

94 Briggs St
Ste 500
San Antonio, TX 78224
Phone (210) 403-0765

3338 Oakwell Ct
Ste 104
San Antonio, TX 78218
Phone (210) 946-6466

14800 San Pedro Ave
Ste 115
San Antonio, TX 78232
Phone (844) 384-5470

8627 Cinnamon Creek Dr
Bldg 100
San Antonio, TX 78240

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1952073850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19141 STONE OAK PKWY STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583367",
            "telephone_number": "210-268-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 SAN PEDRO AVE STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323734",
            "telephone_number": "844-789-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Stone Oak Loop Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583511",
            "country_code": "US",
            "telephone_number": "844-789-7246",
            "fax_number": "210-568-4064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Generations Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781300009",
            "country_code": "US",
            "telephone_number": "844-789-7246",
            "fax_number": "210-568-4064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8627 Cinnamon Creek Dr Bldg 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401480",
            "country_code": "US",
            "telephone_number": "844-789-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 Briggs St Ste 500",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782241285",
            "country_code": "US",
            "telephone_number": "121-075-6598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3338 Oakwell Ct Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782183087",
            "country_code": "US",
            "telephone_number": "844-789-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "861 Landa St",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781306115",
            "country_code": "US",
            "telephone_number": "866-384-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHARANI",
        "first_name": "ROUNAK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1055814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443816002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.